Failure to Provide Scheduled Showers/Baths to Dependent Residents
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled showers or baths to dependent residents in accordance with their assessed needs and shower schedules. One resident was admitted with multiple medical conditions including aortic valve stenosis, osteoporosis, right foot drop, depression, anxiety, dementia, and other chronic issues. Her MDS dated 12/20/2025 showed moderate cognitive impairment (BIMS 11/15) and a need for partial/moderate assistance with showering/bathing. Facility shower schedules and point of care task (PCT) documentation indicated she was to receive showers every Monday and Thursday on day shift. However, PCT records showed that during multiple weeks in November 2025, December 2025, and January 2026, she received only one shower per week instead of two. The resident’s family member reported she was not receiving showers twice weekly, and the resident herself stated she did not always receive a bath/shower twice a week, though she could not specify the days or times. Another resident, admitted with right-sided paralysis following a stroke, bilateral knee osteoarthritis, depression, abnormal posture, right hand contracture, hypertension, hyperlipidemia, cocaine abuse, nicotine dependence, and chronic kidney disease, was cognitively intact per an MDS BIMS score of 15/15 dated 01/05/2026. The same MDS indicated he required substantial/maximal assistance with showering/bathing. The facility’s shower schedule and PCT documentation showed he was to receive showers every Monday and Thursday on evening shift. Review of his PCT records revealed missed showers during several weeks in November 2025, December 2025, and January 2026, including weeks where no showers were documented or only one of the two scheduled showers was provided, with only a single refusal documented for one missed shower. During interview, this resident reported he did not always receive a bath/shower twice per week. The DON confirmed, after reviewing PCT documentation, that both residents had not received showers as scheduled and could not explain why showers were not completed twice weekly as planned.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.