Failure to Provide Scheduled Personal Hygiene Care for Dependent Residents
Penalty
Summary
The facility failed to provide necessary care and services to maintain adequate personal hygiene and grooming for two residents who were dependent on staff for activities of daily living. For one resident with hypertension and chronic obstructive pulmonary disease, the clinical record and Kardex indicated the importance of allowing the resident to choose their preferred method of bathing, with scheduled shower days on Mondays and Thursdays. However, documentation showed that on several scheduled shower days, the resident did not receive a shower, and the task was marked as 'not applicable' rather than indicating a refusal or another reason for not providing the care. Similarly, another resident with dementia and hypertensive heart disease had a care plan emphasizing the importance of engaging in meaningful daily routines, including the choice of bathing method, with scheduled shower days on Mondays and Fridays. The clinical record revealed that on multiple scheduled shower days, the resident did not receive a shower, and the task was again marked as 'not applicable.' During an interview, the Nursing Home Administrator stated that if a resident refused a shower, it should be documented as a refusal, not as 'not applicable.'