Failure to Provide Scheduled Bathing and Hygiene Care
Penalty
Summary
The facility failed to ensure that a resident dependent on staff for activities of daily living received necessary services to maintain grooming and personal hygiene. During an interview on 2/25/2026 at approximately 10:15 a.m., Resident #1 reported she had not received a bath that day or the previous night, and stated she is only cleaned sometimes during the day shift when she is wet or has a bowel movement. At that time, her hair appeared oily, she had a noticeable body odor, her skin was dry and flaky, and her clothes were stained with a urine-type smell noted. An LPN (Staff A) reported on 2/25/2025 at approximately 11:00 a.m. that the resident was scheduled for baths on the night shift, but that night shift routinely reported at shift change that the bath was not given for various reasons, with day shift sometimes providing a full bath only when requested by the resident or family. Record review on 2/26/2026 showed that Resident #1 was scheduled for baths on Monday, Wednesday, and Friday during the night shift, but documentation reflected that from 1/10/2026 through 1/25/2026 she received only one bath, from 1/26/2026 through 2/10/2026 she received only three bed baths, and from 2/11/2026 through 2/26/2026 she received only one bath. During an interview on 2/26/2026 at approximately 3:00 p.m., the Administrator and Director of Nursing, after extensive review of the records, were unable to provide any additional documentation of baths given to Resident #1 beyond what was already found in the record.
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