Failure to Provide and Document Scheduled Bathing Assistance
Penalty
Summary
Surveyors identified a failure to provide necessary assistance with activities of daily living, specifically bathing, for one resident. The resident was admitted on 07/10/2025 with multiple diagnoses including Chronic Obstructive Pulmonary Disease, Type 2 Diabetes Mellitus, Atrial Fibrillation, Paranoid Schizophrenia, Major Depressive Disorder, Heart Failure, and Lack of Coordination. A Quarterly MDS with an ARD of 01/05/2026 showed a BIMs score of 9, indicating moderate cognitive impairment, and documented that the resident required partial/moderate assistance with bathing. The resident’s care plan also indicated a need for staff assistance with ADL care, including bathing. Review of the bathing task documentation for the prior 30 days showed the resident received whirlpool baths on 02/06/2026, 02/17/2026, and 02/19/2026, but there was a 10-day gap from 02/07/2026 through 02/16/2026 with no evidence that bathing services were provided or refused. During an interview on 02/22/2026, the resident reported not consistently receiving baths as scheduled. On 02/24/2026, a CNA stated that completed baths and refusals are documented in the facility bath log and in the electronic medical record and confirmed there was no documentation of a bath or refusal for this resident during the 10-day gap. The clinical education staff member also confirmed there was no documentation in either the electronic medical record or bath log for that period and acknowledged that the resident should have received scheduled baths but did not.
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