Failure to Provide Timely Bathing and Hygiene Assistance for Dependent Post-Surgical Resident
Penalty
Summary
The facility failed to provide required assistance with activities of daily living (ADLs), specifically bathing and hygiene, for one dependent resident. The resident was admitted with diagnoses including malnutrition, postprocedural complications, and digestive system disorders, and had an abdominal surgical wound. An MDS assessment showed the resident had intact cognition with a Brief Interview for Mental Status score of 13/15. According to a family member interviewed by phone, the resident did not receive assistance with showers while in the facility and was often found soiled with urine and not cleaned up for the day. Review of the facility’s shower logs showed the resident did not receive a shower or bed bath until 11 days after admission, and review of progress notes revealed no documented refusals of bathing during that period. In an interview, the DON stated the facility’s expectation is that residents receive showers twice a week and that refusals are documented in the electronic medical record, but could not provide an explanation for the lack of showers for this post-surgical resident during the first 11 days after admission.
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