Failure to Provide Showers/Baths per Resident Preference and Care Plan
Penalty
Summary
The facility failed to provide showers and baths according to resident preferences and care plans for four out of seven residents reviewed. Multiple residents with significant physical and cognitive impairments, including those with stroke, Parkinson's disease, cerebral palsy, and Huntington's disease, did not receive scheduled showers as documented in their care plans and physician orders. Documentation revealed missed showers on several scheduled days, with no record of completion or refusal, and residents reported not receiving the expected number of showers per week. Residents and their family members reported dissatisfaction with the frequency and quality of bathing, citing issues such as lack of hot water, short-staffing, and missed scheduled shower days. One resident reported that the facility had ongoing problems with hot water, resulting in missed showers or incomplete bathing experiences. Family members corroborated these concerns, noting that they sometimes had to provide showers themselves due to inadequate hygiene care at the facility. The facility's documentation practices were inconsistent, with some missed showers lacking any explanation or record. Staff interviews confirmed that shower schedules were in place and that documentation was expected, but there were gaps in both the provision of care and the recording of refusals or missed showers. These failures led to resident dissatisfaction and the potential for discomfort and impaired self-worth, as residents were not consistently assisted with activities of daily living as required by their care plans.