Failure to Provide Required Showers and ADL Assistance During Contact Isolation
Penalty
Summary
The deficiency involves the facility’s failure to provide required assistance with activities of daily living, specifically bathing, to a resident who was unable to independently meet this need. Surveyors observed the resident in her room without an isolation sign posted and noted she had no shower stall in her bathroom. The resident reported that upon admission she was placed on contact isolation for a blood infection and was repeatedly told by staff she could not leave her room to shower, resulting in her not receiving a shower for approximately 11 days and feeling that she smelled bad. Certified nursing assistants stated that residents are supposed to receive showers twice a week and that residents on contact isolation can leave their rooms to shower, and one CNA acknowledged not assisting this resident with showering while she was in isolation. A registered nurse confirmed that the resident’s contact isolation was discontinued on a specific date and that she received a shower then, and that the resident had reported not receiving a shower prior to that time. The resident’s care plan documented an ADL performance deficit with interventions to assist with bathing and personal hygiene, and also noted contact isolation precautions, while the facility’s bath/shower report showed the resident did not receive showers twice weekly as required by facility policy, which states bathing is to provide cleanliness, comfort, and prevent body odors.
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