Failure to Provide Required Bathing and Incontinence Care
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically in the areas of bathing and incontinence care, for several residents. One resident with severe cognitive impairment, non-Alzheimer's dementia, schizophrenia, and congestive heart failure was observed with visibly wet clothing and was not assisted by staff with changing or incontinence care, despite care plan interventions indicating the need for staff assistance. Staff acknowledged the resident's inability to perform self-care after incontinence and confirmed that staff should have reapproached and assisted the resident. Multiple residents did not receive the required twice-weekly bathing. One resident with intact cognition and no documented refusals had no baths recorded during their stay. Another resident with severe cognitive impairment and no history of care refusal went up to 14 days without a bath, with documentation showing missed or unattempted baths and only one recorded refusal. A third resident with intact cognition and no refusal behavior had no documented baths for 27 days, with only one recorded refusal, and staff interviews indicated that the resident rarely refused bathing and liked to be clean. Additionally, a resident with moderate cognitive impairment and frequent incontinence was observed to be unshaven, with greasy hair and dirty clothing on consecutive days, and staff reported that the resident did not refuse bathing. Bathing records for this resident showed missed or unattempted baths due to environmental limitations or lack of staff. Staff interviews revealed that short staffing contributed to missed baths, and the facility's policy required assistance with ADLs to maintain hygiene, which was not consistently provided.