Failure to Provide Scheduled Showers and ADL Assistance
Penalty
Summary
Surveyors identified that the facility failed to provide assistance with activities of daily living (ADLs), specifically showers and personal hygiene, to dependent residents as per their assessed needs and care plans. Three residents were found to have received fewer showers than scheduled, with documentation showing only one or two showers in a 30-day period, despite no refusals being recorded. Residents and their representatives reported that showers were not provided as ordered or preferred, and staff cited insufficient staffing as a reason for not providing showers. Observations confirmed poor personal hygiene, such as oily and uncombed hair, and interviews with the Director of Nursing verified the lack of documentation for scheduled showers. The deficiency was substantiated through resident and MPOA interviews, direct observation of residents' hygiene, and review of ADL documentation. In each case, the residents did not receive the number of showers outlined in their care plans, and there was no evidence that they refused care. The Director of Nursing confirmed the absence of documentation supporting that showers were provided as scheduled for the affected residents.