Failure to Honor Resident’s Personal Hygiene Preferences
Penalty
Summary
The facility failed to honor a resident’s stated preferences for daily personal care and hygiene. The resident was admitted with diagnoses including lumbar spinal stenosis with neurogenic claudication, acute cystitis without hematuria, anxiety, and depression. An admission MDS dated 01/08/26 documented intact cognition with a BIMS score of 15 and indicated that hygiene choices were very important to the resident. The resident required supervision or touching assistance with ADLs, including bathing, and the care plan dated 01/04/26 identified ADL self-care needs related to deconditioning and weakness, with interventions to assist with personal hygiene. On 01/04/26, the resident requested to be washed, but staff did not provide the requested hygiene care, citing a lack of hot water in the resident’s room, despite hot water being available elsewhere in the facility. According to the DON, the resident’s family called on 01/05/26 with concerns that the resident had not been washed as requested the previous day due to the hot water issue. The family reported that during their visit they noted there was no hot water, and later the resident called them stating staff would not wash her for that reason. The family further stated that staff dressed the resident without completing any hygiene, which upset the resident. Facility policy on Resident Rights and Facility Responsibilities stated that residents had the right to adequate and appropriate nursing care and to have all reasonable requests honored.
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