Failure to Provide Scheduled Showers and Document Care for Dependent Resident
Penalty
Summary
Facility staff failed to provide scheduled showers to a resident who required substantial to maximal assistance with activities of daily living due to immobility and multiple sclerosis. According to the resident's care plan and facility policy, the resident was to receive showers on Wednesdays and Sundays during the evening shift, with full staff assistance and use of a mechanical lift. Documentation and interviews revealed that the resident did not consistently receive showers as scheduled, and there was no evidence that showers were offered or refused on several occasions. Instead, the resident was often given a bed bath without being offered a shower, despite expressing a preference for a shower over a bed bath. Review of clinical records, shower schedules, and staff interviews confirmed gaps in documentation and delivery of care. There was no documented evidence that the resident received or refused showers according to their care plan and preferences for a period of over a month. Facility leadership confirmed the lack of documentation and adherence to the resident's scheduled showers, which was not in accordance with facility policy or the resident's care plan.