Failure to Provide Scheduled Showers and Document Care for Dependent Resident
Penalty
Summary
A dependent resident with diagnoses including displaced fracture of cervical vertebra, Lewy Bodies dementia, Parkinson's disease, and right foot drop did not receive scheduled showers as required. The resident was assessed as having intact cognition but was dependent on staff for showering. Record review showed missing documentation for scheduled showers on multiple dates, and there was no evidence that the resident was offered showers or that refusals were documented on those dates. The resident's care plan indicated a self-care deficit related to bathing, with interventions for staff assistance with activities of daily living. During interviews, the resident could not recall the last time a shower was provided, and the DON confirmed the absence of documentation for the required showers or refusals. Facility policy required staff to provide care and services for bathing and other activities of daily living, but this was not followed as documented in the resident's records.