Failure to Provide Scheduled Showers for Dependent Resident
Penalty
Summary
The facility failed to provide care and services to assist a resident with activities of daily living, specifically in maintaining personal hygiene through scheduled showers. Record review showed that a female resident with severe cognitive impairment, dementia, generalized anxiety disorder, and major depressive disorder was dependent on staff for bathing and other ADLs. Despite a care plan and EMR documentation specifying a shower schedule, there was no evidence that the resident received showers or baths on several scheduled dates. The resident herself reported not having received a bath in a while, though she could not recall specific dates. Interviews with staff, including a CNA, the ADON, and the administrator, confirmed that the resident did not receive her scheduled showers on the identified dates. Staff acknowledged that missing scheduled baths or showers could result in odor or skin issues, and the facility's policy required staff to assist residents with personal hygiene to prevent such problems. The failure to follow the resident's care plan and shower schedule constituted a deficiency in providing necessary care and services for activities of daily living.