Failure to Provide Ordered Twice-Weekly Showers for a Resident
Penalty
Summary
The facility failed to reasonably accommodate a resident’s shower needs and preferences as outlined in the admission notice packet, which states that residents have the right to have their personal needs and preferences provided for as long as they do not interfere with the rights of others. The resident, who was admitted on an unspecified date, had an MDS dated 11/19/25 reflecting diagnoses of hypertension, osteoporosis, and diabetes, and had current physician orders for showers twice weekly on Sunday and Thursday during the 3:00 p.m. to 11:00 p.m. shift. Review of the Point of Care History from 9/1/25 through 1/5/25 showed only six showers documented as completed on 9/4/25, 10/4/25, 10/5/25, 10/26/25, 11/23/25, and 12/28/25, despite the standing order for twice-weekly showers. During an observation on 1/5/26, the resident was on the telephone and declined interaction with the survey agency, and in a subsequent interview the Director of Nursing confirmed that the resident had received only six showers during the review period, confirming the failure to accommodate the resident’s ordered shower schedule.
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