Failure to Provide Ordered Showers and Honor Resident Bathing Preferences
Penalty
Summary
The facility failed to provide showers as ordered for a resident who required assistance with activities of daily living (ADLs). The resident had physician orders to receive showers on Tuesdays and Fridays during January and February 2026, but interviews and record review showed that these ordered showers were not provided. On 2/20/26, the resident’s responsible party reported that the resident had not received a shower in the prior two months, and the resident, who was alert, oriented, and able to express needs, confirmed not having had a shower during that period and expressed a desire for one. Documentation in the treatment and GNA records showed that the resident had only received bed baths, with one documented refusal of a shower/bed bath on a single occasion due to diarrhea, and there was no documentation that showers were offered on the scheduled shower days as ordered. The resident stated they were not opposed to receiving a bed bath occasionally but expected to be offered a shower on designated shower days rather than being given only bed baths. The surveyor’s review of records corroborated that showers were not provided in accordance with the care plan and orders for the months reviewed, and that the resident’s preference for showers on scheduled days was not honored, except for the one documented refusal related to diarrhea.
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