Failure to Provide and Document ADL Assistance for Dependent Residents
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically bathing, to residents who were dependent on staff for this care. One resident reported not receiving scheduled showers for extended periods, including an 11-day and a 7-day gap, and staff interviews confirmed lapses in providing showers due to shift changes and lack of follow-through. Documentation review showed that another dependent resident had no record of showers for an entire month and only one shower documented the following month, with missing documentation for both showers and bed baths on multiple days. The DON acknowledged the absence of a written policy regarding the frequency of showers or bed baths, although staff were expected to offer showers twice weekly and bed baths daily, with refusals to be documented. A third resident, also dependent for bathing, was reported by a family member as not receiving enough showers, and the DON was unable to find documentation of any refusals for this resident. Review of care plans and shower schedules confirmed that scheduled showers were not consistently provided or documented. These findings were based on resident and staff interviews, as well as review of care plans and documentation, and affected three residents in a facility with a census of 116.