Failure to Provide Scheduled Bathing and Shower Care
Penalty
Summary
A resident with chronic obstructive pulmonary disease and metabolic encephalopathy, who was dependent on staff for bathing and required two-person assistance, did not consistently receive scheduled bathing or shower care. The resident's care plan and admission assessments indicated the need for staff assistance with bathing. Bath/Shower task logs showed that showers were only documented as provided on three occasions, while scheduled shower days on three other dates were left blank with no documentation of care provided or refusals. Progress notes did not indicate that the resident was offered additional opportunities for bathing when a shower was missed or refused. Staff interviews revealed that sometimes tasks were not documented due to staff being too busy, and a resident care manager confirmed that blank logs indicated the task was not completed, with at least one missed shower attributed to short staffing.