Failure to Provide Scheduled Showers and Timely Feeding Assistance
Penalty
Summary
The facility failed to provide necessary care and assistance with activities of daily living (ADLs) for residents who were dependent on staff for showers and feeding. One resident, admitted with diagnoses including dementia, right femur fracture, lack of coordination, and dysphagia, was scheduled to receive showers every Monday and Thursday. However, the resident did not receive showers on three scheduled days, and there was no documentation explaining the missed showers. Staff interviews revealed that the resident was not given showers due to being resistive, and instead, a bed bath was provided. Despite this, there was no documentation that the resident's responsible party was notified of the missed showers, as required by facility policy. Another resident, also with dementia and dysphagia, was dependent on staff for feeding. During observation, this resident's breakfast tray was delivered and left on the bedside table for over 30 minutes before staff assisted with feeding. Staff interviews indicated that the CNA responsible for feeding had multiple residents to assist, resulting in delays. The restorative nursing assistant confirmed that food trays are delivered promptly but should not be left for extended periods, as the food can become cold. A review of facility policies confirmed that residents are to be assisted with bathing and feeding according to their care plans and schedules, and that documentation should reflect the care provided and any deviations. The facility's failure to provide scheduled showers, timely feeding assistance, and proper notification and documentation constituted deficiencies in meeting residents' ADL needs.