Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to provide showers to three out of five residents reviewed for Activities of Daily Living (ADL) care, despite documentation indicating their dependence on staff for bathing. For one resident with quadriplegia, records showed no documentation of showers being given or offered over multiple weeks. Another resident with cerebral infarction and hemiparesis/hemiplegia, who required partial to moderate assistance, also had gaps in shower documentation, with no showers recorded for extended periods. A third resident with fibromyalgia and congestive heart failure, who needed setup and cleanup assistance, similarly had no showers documented over several weeks. These findings were corroborated by resident interviews, where individuals reported not receiving showers, often attributing this to insufficient CNA staffing. The facility's own shower care policy requires staff to assist residents with bathing to maintain hygiene and prevent skin issues. However, review of shower sheets and care plans revealed that scheduled showers were not consistently documented as provided or offered, and residents' preferences for shower times were not always accommodated. Staff interviews confirmed that while efforts were made to adjust schedules based on resident preferences, some residents experienced delays or missed showers, particularly when they refused at scheduled times and requested showers later. Despite administrative claims that showers were being given, the lack of documentation and resident reports indicate a failure to consistently provide necessary ADL care.