Failure to Provide Timely Assistance with Activities of Daily Living
Penalty
Summary
A deficiency occurred when a resident with multiple chronic conditions, including COPD, asthma, rheumatoid arthritis, muscle weakness, and a need for personal assistance with personal care, did not receive timely assistance with activities of daily living as required by their care plan. The resident was admitted with significant medical needs and required supervision or touching assistance for showers, dressing, footwear, and personal hygiene. Documentation showed the resident requested a shower before a scheduled medical appointment, but there was no record or progress note indicating that the shower was provided on the requested date. Interviews with the resident, a CNA, and the DON confirmed that the resident's request for a shower prior to the appointment was not fulfilled, and there was no documentation to support that the care was provided as per facility policy. The facility's policy required staff to offer and assist with bathing according to the resident's care plan, including extra showers upon request or before appointments. The failure to provide the requested assistance resulted in non-compliance with the facility's own standards and regulatory requirements.