Failure to Provide and Document Adequate Hygiene for Dependent Residents
Penalty
Summary
The facility failed to maintain adequate personal hygiene and grooming for residents who were dependent on staff for assistance with activities of daily living. For one resident with multiple diagnoses including anxiety, depression, Alzheimer's disease, vascular dementia, bipolar disorder, and hallucinations, clinical records showed she was dependent on staff for bathing and scheduled for showers twice weekly. However, documentation revealed she often received only bed baths or wash-ups at the sink instead of showers, and there were several dates with no documentation of bathing at all. Family concerns were raised regarding missed showers, and staff statements indicated the resident sometimes refused to get out of bed or refused showers, with some care provided by night shift or occupational therapy on occasion. Another resident, diagnosed with dementia with behavioral disturbances, vascular parkinsonism, and adjustment disorder, was also dependent on staff for bathing and required two-person assistance due to combativeness. This resident was scheduled for showers twice weekly, but records showed only one shower and a few wash-ups at the sink during the review period, with several dates lacking any documentation of bathing. Interviews with facility leadership revealed a belief that bathing had been completed but not documented, and that the resident's behavioral issues and sleep patterns sometimes led staff to forgo scheduled bathing.