Failure to Provide Scheduled Showers and Bed Baths
Penalty
Summary
Resident #6, who was admitted with immobility syndrome, severe protein-calorie malnutrition, and ESBL resistance, was found to be dependent on staff for all activities of daily living, including bathing. The resident was cognitively intact and had a care plan indicating a self-care performance deficit, requiring full staff assistance. Despite being scheduled for showers on Wednesdays and Fridays during the night shift, documentation and interviews revealed that the resident did not consistently receive showers or bed baths as scheduled. Progress notes and shower records showed significant gaps between bathing events, with some refusals documented but also instances where the resident requested a bed bath and there was no evidence it was provided. Interviews with staff, including CNAs and the DON, confirmed that showers were not always given as scheduled, with some staff citing staffing shortages or unwillingness to provide showers, while others denied staffing issues but could not explain the missed care. The facility's policies required routine daily care, including bathing, to be provided by CNAs under nurse supervision, and perineal care to be planned according to individual needs and preferences. However, the records and staff interviews indicated that these policies were not consistently followed for Resident #6, resulting in missed scheduled showers and bed baths.