Failure to Provide and Document Bathing for Dependent Resident
Penalty
Summary
Facility staff failed to provide activities of daily living (ADL) care, specifically bathing, to a dependent resident on two separate days in October 2025. The resident, who was completely dependent on staff for bathing according to the most recent Minimum Data Set (MDS) admission assessment, did not receive a shower or bath on these days as documented in the point of care records. There was no evidence in the records that the resident refused bathing on either day. Interviews with two CNAs revealed that both staff members stated they routinely bathe and document care for all assigned residents daily. The lead CNA confirmed that if a bath is not documented in the electronic medical record, there is no way to verify that the care was provided. Facility policy indicates that bathing typically occurs after breakfast or the evening meal, and the resident's choice of bath type and timing is respected when possible. No additional information was provided prior to the survey exit.