Failure to Provide Scheduled Bathing and Proper Documentation for Dependent Residents
Penalty
Summary
The facility failed to provide scheduled bathing assistance for two residents who required staff support for activities of daily living (ADLs). One resident, with a documented self-care deficit and a care plan indicating the need for staff assistance with bathing, was scheduled to receive showers twice weekly. However, records showed a significant gap between showers, and documentation was inconsistent between the shower sheets and the electronic medical record. The resident reported missing a scheduled shower due to staff being unavailable, and a grievance filed by the resident's son was substantiated, confirming the missed care. Another resident, also with an ADL self-care deficit and scheduled for twice-weekly showers, was documented as having refused a shower on a scheduled day. However, the documentation lacked a reason for the refusal, the name of the staff member who recorded it, and a nurse's signature, as required by facility policy. The resident later denied refusing the shower, stating he was waiting for it. Staff interviews confirmed that refusals should be documented with a nurse's involvement and that re-attempts should be made, but these steps were not followed.