Failure to Consistently Provide Scheduled Bathing for Residents Requiring ADL Assistance
Penalty
Summary
The facility failed to consistently provide bathing or showers for three of six sampled residents who required assistance with activities of daily living (ADLs), specifically bathing. Each of these residents was cognitively intact and able to make decisions regarding their care, and their care plans specified that they were to receive assistance with bathing at least twice a week, with bed baths to be provided if they refused or could not tolerate a shower. Documentation reviews revealed significant gaps between baths, with some residents going up to 28 or 34 days without a documented bath. There was no documentation indicating that the residents had refused baths or that alternative care, such as bed baths, was offered as per their care plans. Interviews with residents confirmed that they were not being bathed as scheduled, and one resident attributed the lack of bathing to insufficient staffing. Staff interviews corroborated that bathing was not being provided consistently, and all documentation was maintained electronically with no paper logs. The lack of consistent bathing and incomplete documentation of refusals or alternative care directly contradicted the interventions outlined in the residents' care plans.