Failure to Provide Scheduled Showers and Timely Eating Assistance
Penalty
Summary
The facility failed to provide scheduled showers to dependent residents and did not ensure timely assistance with eating for residents requiring staff help. For one resident with hypertensive heart disease, dementia, and impaired mobility, showers were scheduled twice weekly but were only documented as given on four out of nine opportunities, with missed showers consistently occurring on Mondays. The resident confirmed rarely receiving showers on the scheduled day due to staff being too busy, and this was verified by an LPN who confirmed the lack of documentation for the missed dates. Another resident with hemiplegia, dementia, and total dependence on staff for ADLs was also not provided scheduled showers, receiving only a sponge bath and a bed bath over a period when seven showers were due. Observation revealed this resident had dry skin and a large amount of an unknown substance under her fingernails. A CNA confirmed the resident did not receive showers as scheduled and verified the condition of the resident’s fingernails. Additionally, this resident was observed waiting for assistance with eating during a meal, with staff confirming that assistance was not provided in a timely manner. Two other residents, one with spastic quadriplegic cerebral palsy and another with progressive multiple sclerosis and impaired cognition, were also affected by delays in receiving assistance with eating. Both were observed waiting for extended periods before staff provided help during meals. Staff interviews confirmed that only two CNAs were present to assist multiple residents in the dining room, resulting in frequent delays and long wait times for residents needing help with eating.