Failure to Provide Scheduled Bathing for Dependent Resident
Penalty
Summary
A dependent resident with an ADL self-care performance deficit related to a stroke was care planned on admission to be totally dependent on staff for bathing or showering, with an intervention specifying that it was very important for him to choose how he was bathed and that he preferred a shower or bed bath. The resident’s care plan also emphasized the importance of engaging in daily routines meaningful to his preferences. Documentation from admission through early September showed he was scheduled to receive a shower or bath twice weekly on the evening shift and as needed. Out of five scheduled bathing opportunities during the review period, the resident received bathing on two occasions and refused once, but there was no documentation explaining why bathing was not provided on two other scheduled dates. Review of the progress notes confirmed the lack of documented reasons for missed bathing on those dates, and the NE/IP later confirmed these findings during the surveyor interview.
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