F0561

D

Failure to Honor Resident Bathing Preferences and Schedule

Fort Collins, Colorado Survey Completed on 02-09-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to honor a cognitively intact resident’s stated bathing preferences and to provide showers according to his chosen schedule. The resident, over age 65 with diagnoses including a left tibia fracture and type 2 diabetes, required partial to moderate assistance for personal hygiene and showers. He reported that from admission he went several weeks without showers, and that staff on different shifts repeatedly told him his shower would be done by the next shift, which did not occur. He stated he verbally complained to nurses, CNAs, and managers, but his shower schedule was never corrected. A manager later placed a sign in his room listing specific shower days, but the resident reported that showers still were not completed as scheduled.

Record review showed the resident’s shower preferences were documented in the EMR, initially as twice weekly on specific evenings, and later updated to three times weekly on specific days before 8:00 p.m. but after lunch. However, his comprehensive care plan did not include his shower preferences or specific days. Shower records for the 30-day review period showed he received only three showers. Staff interviews revealed a CNA did not know when the resident was to receive showers and described confusion due to shower schedule updates not being communicated to CNAs. An RN acknowledged the resident’s specific time preferences and stated it was sometimes difficult to accommodate due to CNA workload and that his schedule had been changed multiple times, leaving her unsure of the current schedule. The DON stated she was unaware the resident was not receiving showers and that staff were confused about which shift was responsible for providing them.