F0561

D

Failure to Honor Resident Choice and Provide Scheduled Shower

Montebello, California Survey Completed on 01-20-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to honor a cognitively intact resident’s right to exercise choice and autonomy regarding bathing on a regularly scheduled shower day. The resident, admitted with diagnoses including sepsis and type 2 diabetes mellitus, required substantial/maximal assistance with several ADLs, including shower/bath, and had a care plan indicating she needed partial/moderate assistance for bathing as necessary. Her care plan also documented that it was important for her to have daily routines and preferences accommodated, including choosing between a tub bath, shower, bed bath, or sponge bath. On the date in question, facility documentation for the resident’s bathing task listed all bathing-related items as “not applicable,” indicating no bath type was provided or recorded.

On that same day, the resident reported she did not receive a shower despite it being her regular shower day and stated that staff often did not help her shower even when she asked multiple times, which made her feel depressed and useless. She stated she had her own personal hygiene products and did not understand why staff would not assist her. The assigned CNA confirmed that the resident’s regular shower days were Tuesdays and Thursdays and acknowledged that the resident did not receive a shower because the CNA was busy. The CNA reported that when she first approached the resident in the morning, the resident declined a shower at that time due to pain, and the CNA did not return later to offer the shower, nor did she notify anyone else that the shower had not been provided, stating she was busy and forgot. The DON stated that residents should receive showers on scheduled days and that CNAs who cannot provide a scheduled shower are expected to notify the charge nurse so another staff member can assist.