Failure to Honor Resident’s Shower Preferences and Schedule
Penalty
Summary
Facility staff failed to honor a resident’s stated preference and schedule for showers, resulting in missed showers and showers being scheduled at undesired times. During a wound dressing change observation, the resident reported that they were supposed to receive two showers twice a week in the evening but did not always receive them. The staff member performing the dressing change stated the resident was scheduled for showers on the 3–11 shift, while the resident stated a preference for showers on the 7–3 shift so that showers would occur before wound dressings were changed, not after. The resident explained that even if the old dressing became wet, it would have to be removed anyway, so getting it wet would not matter. Review of the facility’s Documentation Survey Report showed multiple dates on which the resident did not receive scheduled showers, including several dates over a three‑month period. The record also showed a shower documented on one date that the resident denied receiving. The resident’s sister reported that the resident had complained to nursing staff about not being showered and that staff told the resident showers had to be taken at night, despite the resident’s expressed preference for daytime showers.
