Failure to Provide Resident-Preferred Bathing and Maintain Psychosocial Well-Being
Penalty
Summary
The facility failed to honor resident preferences for bathing and did not provide scheduled baths or showers for four residents over a specified period. Documentation showed that these residents, who had various medical conditions such as spastic hemiplegia, depression, chronic kidney disease, and anoxic brain damage, were scheduled for baths or showers on specific days but did not receive them as planned. Interviews with these residents confirmed that they did not receive their preferred number of baths or showers, and observations noted that some had greasy hair, indicating a lack of personal hygiene care. The Nursing Home Administrator confirmed that showers were not provided according to the residents' preferences and schedules during the review period. Additionally, the facility did not support residents' psychosocial well-being by suspending communal dining and group activities for six residents. These residents expressed that they enjoyed eating meals in the dining room and participating in group activities, but these opportunities were not available due to ongoing COVID-19 precautions. Despite the facility's policy requiring daily review of outbreak status to lift restrictions as soon as possible, records indicated that the spread of infection had slowed, yet communal activities remained suspended. Observations during the survey period showed residents engaging in therapy and interacting with staff, but there were no observations of residents participating in individual or socially distanced activities, nor were meals served in a socially distanced manner in the dining room. Facility leadership confirmed that communal dining and group activities were not occurring at the time of the survey due to COVID-19 in the building.