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F0677
D

Failure to Provide Scheduled Showers for Dependent Resident

Staatsburg, New York Survey Completed on 11-19-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency was identified when a resident who was dependent on staff for bathing did not consistently receive showers as specified in their care plan and personal preference. The facility's policy required individualized care to maintain residents' quality of life, including honoring preferences for bathing routines. Documentation showed that the resident was to receive showers twice weekly, specifically on Tuesday and Friday evenings. However, review of Certified Nurse Aide accountability records revealed that the resident received only 5 out of 9 scheduled showers in one month and only 3 showers in the following month. During interviews and observations, the resident confirmed that showers were not always provided as scheduled, and staff corroborated that there were occasions when the resident did not receive their shower on the assigned shift. The Staff Development LPN stated the resident did not refuse showers, and the DON acknowledged a pattern of incomplete documentation by CNAs on certain shifts. The resident's medical history included cerebrovascular disease, dysarthria, and asthma, and they were cognitively intact at the time of the deficiency.

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