F0677

E

Failure to Provide and Document Scheduled Showers and Bathing Assistance

Tampa, Florida Survey Completed on 02-21-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide and document assistance with bathing and showers for dependent residents in accordance with their care plans and facility policy. One resident reported not having had a shower since admission and only receiving one bed bath around the time of admission. Review of this resident’s admission record showed diagnoses including hypertensive heart disease without heart failure, unsteadiness of the feet, gait abnormalities, need for assistance with personal care, and blindness of the left eye. An MDS dated 2/8/2026 documented a BIMS score of 14, indicating the resident was cognitively intact. Review of the CNA task log for showers showed no documentation of showers or baths for 13 days, and the ADON and DON confirmed there were no shower sheets or task log entries, despite the care plan indicating the resident needed assistance with bathing and personal hygiene.

Another resident was observed scratching and itching her arms and upper body, with scaly, dry, rough skin and large fishlike flakes. This resident stated she was supposed to see a dermatologist, that her family had discussed this with the facility, and that she was using regular store lotion without relief. She reported struggling to receive assistance with showers, stating that staff sometimes did not want to help and that she had filed a grievance about showers that she felt remained unresolved, although facility documentation showed the grievance as resolved after one shower was provided. Her admission record included morbid obesity due to excess calories, Type 2 diabetes, and unspecified kidney failure, and an MDS showed a BIMS score of 14. Her care plan documented an ADL self-care deficit and dependence on staff for bathing, including transfers into and out of the shower. The CNA task log for February 2026 showed a scheduled shower/bathing routine three evenings per week, but all entries had the same time stamp, which a CNA explained reflected documentation time rather than when care was actually provided.

A third resident’s showering schedule indicated assistance with bathing was to be provided twice weekly on the evening shift. Review of documentation showed this resident received only one shower during the review period, despite three scheduled opportunities, and there was no documentation that the resident had refused bathing. The admission/readmission evaluation documented that this resident required extensive assistance with bed mobility and was dependent on staff for toileting and transferring. The care plan identified a potential ADL self-care deficit related to fatigue and chronic medical conditions, with interventions specifying the need for limited to extensive assistance of one to two staff for bathing. The ADON stated that residents are scheduled for showers twice a week and per preference, but at least twice weekly, and the facility’s ADL care and services policy required that residents unable to carry out ADLs independently receive appropriate support and assistance with hygiene, including bathing and showers.