F0676

D

Failure to Honor Bathing Preferences and Document Showers

North Canton, Ohio Survey Completed on 01-05-2026

Penalty

No penalty information released

Summary

The facility failed to ensure a resident’s bathing preferences were accommodated and that showers were consistently provided and documented. The resident, who had intact cognition and did not refuse care per the Quarterly MDS, required moderate assistance with bathing and had multiple medical diagnoses including volvulus, UTI, osteoarthritis, peripheral neuropathy, breast cancer, skin cancer, acute embolism of the right lower extremity, and osteoporosis. Nursing notes documented that the resident refused showers on two occasions when staff attempted to bathe her after 7:30 A.M., stating she would not take a shower after that time. The shower schedule indicated the resident was to receive showers on the day shift on Mondays and Thursdays, but it did not reflect her preference to bathe before 7:30 A.M.

Review of the electronic charting system showed that in December only one shower/bath was documented for the resident, on 12/22, with no documentation of showers from 12/01 through 12/21. During an interview, the resident reported she had not received a shower the prior week and stated that staff were documenting refusals when she had not refused, explaining that on days with only two aides working, showers were not done. She also stated she preferred to shower first thing in the morning and sometimes staff did not get to her in time, resulting in her not receiving a shower. The DON acknowledged awareness of issues with shower documentation and confirmed that the resident had no showers documented prior to 12/22, while also stating that the resident frequently refused showers if they were not offered before 7:30 A.M. The facility’s policy required residents to be bathed according to their preferences to promote cleanliness and comfort and to observe skin condition, which was not followed in this case.