Failure to Provide Scheduled Showers and Maintain Documentation
Penalty
Summary
The facility failed to provide scheduled showers for a resident who was dependent on staff for bathing due to above knee amputations and was cognitively intact. According to the facility's policy, showers are to be provided twice weekly, refusals are to be documented, and supervisors notified if a resident refuses. The resident reported not receiving showers for two weeks and expressed confusion about changes to the shower schedule. The resident's care plan specified the need for assistance with activities of daily living, including scheduled showers twice weekly. Review of the facility's shower documentation for November and December revealed gaps, with showers only documented on a few dates and no consistent twice-weekly pattern. The DON confirmed that the available documentation was incomplete and acknowledged the gaps. There was no documentation of refusals or alternative arrangements during the periods when showers were missed, despite facility policy requiring such records. The lack of consistent documentation and missed showers led to the deficiency.