Failure to Provide Scheduled Showers and Hygiene Care
Penalty
Summary
The facility failed to provide necessary care and services to ensure that four residents who were unable to carry out activities of daily living received the required assistance to maintain good nutrition, grooming, and personal and oral hygiene. Specifically, the facility did not provide scheduled showers for these residents during the month of November, as evidenced by observation, interviews, and record reviews. Documentation inconsistencies and missing shower sheets were noted, and residents reported not receiving showers as scheduled or not being offered them at all. Resident interviews revealed that some residents did not receive showers on their scheduled days, with one resident stating she was not even asked or informed about her shower. Another resident reported not receiving a shower due to the absence of a shower aide, and a third resident indicated she was only given bed baths because staff did not want to use the Hoyer lift for showers, despite her preference for a shower. A fourth resident stated she received showers only about once a week and noted inconsistency in staff providing showers. In several cases, shower sheets were missing or incomplete, and staff were unable to verify whether showers or bed baths had been provided as scheduled. Staff interviews confirmed that there were challenges in completing all scheduled showers, with some nurse aides reporting insufficient time to complete showers and passing the responsibility to the next shift. There was also confusion among staff regarding the shower schedule and documentation procedures. Nursing staff and administration acknowledged the expectation for showers to be completed per schedule and for staff to notify supervisors if showers could not be completed, but records and interviews indicated this process was not consistently followed.