Failure to Provide Scheduled Showers for Dependent Resident
Penalty
Summary
The facility failed to ensure that a resident who was dependent on staff for activities of daily living (ADLs), specifically bathing, received showers as scheduled. According to the electronic shower schedule, the resident was to receive showers on Tuesdays, Thursdays, and Saturdays during the 2pm-10pm shift. However, record review showed inconsistencies in the dates and times showers were provided, with some showers occurring outside the scheduled days and times, and gaps in adherence to the established schedule. The resident, who was cognitively intact and required partial to moderate assistance with personal hygiene, lower body dressing, transfers, bed mobility, and toileting hygiene, was observed to be clean and without foul odors during the survey. She reported that her showers depended on which staff member was assigned and that she sometimes received bed baths instead, particularly when there were issues such as cold water. The resident stated she refused bed baths with cold water and would escalate concerns to facility staff or the Ombudsman if needed. Staff interviews confirmed that the resident was vocal about her care preferences and that missed showers could lead to hygiene and skin issues. Facility staff, including the DON, CNA, Med Aide, LVN, and ADM, acknowledged the importance of regular showers for residents to prevent skin breakdown and maintain hygiene. They also confirmed that the resident did not typically refuse showers and was proactive in communicating her needs. The facility's policy required that residents unable to perform ADLs independently receive necessary services to maintain good nutrition, grooming, and personal and oral hygiene, but the observed inconsistencies in shower provision indicated a failure to fully meet these requirements for the resident in question.