F0676

E

Failure to Provide Scheduled Bathing Assistance for Dependent Residents

Vancouver, Washington Survey Completed on 01-05-2026

Penalty

No penalty information released

Summary

The facility failed to provide required bathing assistance to residents dependent on staff for activities of daily living, specifically bathing, in accordance with its policy requiring at least two full baths or showers per week. One resident with end stage renal disease, weakness, reduced mobility, moderate cognitive impairment, and frequent bowel and bladder incontinence was care planned as dependent on staff for personal hygiene and bathing. Review of this resident’s Treatment Administration Records (TARs) for October and November 2025 showed that bathing was scheduled on specific days of the week but was only provided for a portion of the scheduled times. The TARs also showed the resident was routinely out of the facility three days per week for dialysis, and showers were scheduled on days and times that conflicted with these dialysis appointments, resulting in multiple missed showers. The resident reported frequently not being assisted with bathing because they were at their regularly scheduled dialysis appointments.

Another resident with cancer, reduced mobility, weakness, severe cognitive impairment, and dependence on staff for bathing assistance was also care planned to require help with personal hygiene. Review of this resident’s October 2025 TAR showed they did not receive a scheduled shower on one date, and review of the progress notes for the same month showed no documentation explaining why the scheduled shower was not provided. During an interview, the DON stated that residents were scheduled for bathing assistance twice per week and that nurses were expected to document in the progress notes if a resident did not receive a scheduled bath. The DON acknowledged that the first resident’s bathing schedule had been set for the same days of the week as their dialysis appointments.