Failure to Provide Scheduled Showers and ADL Assistance
Penalty
Summary
The facility failed to ensure that a resident who was dependent for activities of daily living (ADLs) received scheduled showers as required by her care plan. The resident, who had a history of cerebral infarction with reduced mobility and required total assistance for ADLs, did not receive any of her scheduled showers for over five weeks, except for one shower after she complained to leadership. Shower and bath records for November and December showed only sporadic documentation of bed baths and one shower, with some dates lacking any indication of care provided. The resident reported that staff told her they did not have time to provide showers and that the shower bed was broken. Interviews with staff revealed inconsistent practices regarding the assignment of CNAs to resident halls and a lack of oversight in ensuring that scheduled showers were provided and properly documented. Nurses and the ADON acknowledged that the resident should have received showers or bed baths at least three times a week, and that failure to do so could result in negative outcomes. However, there was no evidence that the required showers were consistently provided or that refusals were properly documented, as required by facility policy and the resident's care plan.