Failure to Provide Scheduled Showers According to Resident Preferences
Penalty
Summary
The facility failed to provide showers to residents according to their preferences and established shower schedules. Two residents with significant cognitive and physical impairments, including diagnoses such as Alzheimer's disease, dementia, and mobility issues, were identified as being dependent on staff for bathing. Documentation showed that both residents missed multiple scheduled showers over several months, despite care plans indicating their need for staff assistance and the use of mechanical lifts or supervision for bathing. The facility's own bathing policy stated that residents could choose the frequency and timing of their baths or showers. Interviews with staff and the Director of Nursing confirmed that the missed showers were not documented as being provided at alternative times, and in one case, staff reported that a resident's behavioral challenges led to skipped showers and changes. The lack of adherence to the shower schedule and resident preferences was verified through review of shower sheets and staff interviews, demonstrating a failure to meet the residents' needs for assistance with activities of daily living as outlined in their care plans and facility policy.