Failure to Provide Scheduled Showers for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident with diagnoses including bipolar disorder, diabetes, chronic kidney disease, and congestive heart failure, who was dependent on staff for toileting and required substantial to maximal assistance with bathing, did not receive the necessary services to maintain good grooming and personal hygiene. The resident, who was always incontinent of bowel and bladder and had intact cognition, reported typically receiving only one shower per week and only when requested, despite preferring two showers per week. Review of shower documentation over a one-month period showed the resident received only six showers, and staff confirmed the resident had not been placed on the shower schedule, resulting in showers not being provided or offered twice weekly as required.