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F0677
D

Failure to Provide Bathing Assistance as Care Planned

Portland, Oregon Survey Completed on 09-10-2025

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 resident with a history of stroke, admitted in May 2025, was care planned to require maximum assistance with a Hoyer lift and was dependent on staff for showering twice weekly and as needed. Review of task charting for June, July, and August 2025 showed that on multiple occasions, bathing was documented as 'not applicable' by several CNAs, with no evidence that make-up showers were provided. Staff interviews confirmed that bathing was not completed on these dates due to lack of available staff to assist with the Hoyer lift or unavailability of the lift itself. A family member reported that the resident was not provided assistance with showers as required. Staff, including CNAs and an RN care manager, acknowledged that the resident was not bathed or showered on the documented dates, citing ongoing staffing difficulties. The administrator and director of nursing services confirmed that residents should be bathed according to their care plans and as needed.

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