Failure to Provide Dignified and Complete Personal Care During Shower
Penalty
Summary
The deficiency involves a failure to honor a resident's right to dignity and appropriate assistance with personal care during a shower. A cognitively intact resident, admitted with diagnoses that included a need for assistance with personal care, reported that on the morning of 12/27/25 a CNA did not wash her buttocks during a shower, despite the resident's request and her inability to reach that area herself. The resident stated the CNA told her she did not want to hurt her back by bending to wash the buttocks, which left the resident feeling upset and angry. The resident's MDS dated 11/7/25 documented a BIMS score of 15 and indicated the resident required substantial/maximal assistance for showering, meaning the helper provides more than half the effort and lifts or holds the resident's trunk and limbs. During an interview, the CNA confirmed she did not wash the resident's buttocks during the morning shower on 12/27/25 because she was worried about hurting her back if she bent over, and she acknowledged it did not occur to her to call another CNA for assistance. She stated she did not clean the resident's buttocks until later that afternoon, after the resident became upset about the incident. The DSD stated the CNA should not have refused to wash the resident's buttocks and should have asked another CNA for help, and the DON stated the CNA should have cleaned the resident's buttocks to preserve the resident's dignity and to prevent the risk of skin breakdown. The facility's Resident Rights policy, revised 12/19/22, indicated the facility will ensure all direct and indirect care staff are educated on residents' rights and the facility's responsibility to properly care for its residents.
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