F0558

D

Failure to Provide Scheduled Showers and Accommodate Resident Bathing Preferences

Kendallville, Indiana Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

Surveyors found that the facility failed to reasonably accommodate a cognitively intact resident’s bathing needs and preferences by not providing scheduled showers. The resident, who had a BIMS score of 15 on admission, reported on two separate interviews that she had not had a shower since before admission and stated she needed a shower badly. Record review of bathing notes from 3/5/26 to 3/10/26 showed the resident did not receive a shower on the scheduled shower day of 3/7/26 and instead only received partial bed baths on multiple consecutive days. The facility’s shower schedule binder listed the resident for showers twice weekly on specific days and shifts, and the resident’s care plan indicated she was to have showers twice a week per schedule, while the admission agreement stated residents had a right to receive services with reasonable accommodation of their needs and preferences.

During interviews, both a QMA and an RN who assisted the resident indicated they did not know when the resident was due for a shower, and the RN noted that scheduled shower days had not been assigned in the electronic record. The DON stated that showers are ordered two days a week for every resident unless contraindicated, and the Executive Director reported the facility did not have a policy about shower frequency. This combination of staff unawareness of the resident’s shower schedule, lack of assignment in the electronic record, and absence of a facility policy resulted in the resident not receiving showers as planned and requested.