F0677

D

Failure to Provide Scheduled Showers and Bathing Assistance

Kennett, Missouri Survey Completed on 02-18-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide scheduled showers and bathing assistance for multiple dependent residents in accordance with its own shower policy and schedules. The facility’s policy stated that residents would be assisted with bathing to maintain hygiene and would receive showers per request or facility schedule, with partial baths between regular showers. However, the policy did not address how showers or baths provided by hospice staff would be managed or monitored. Record review showed repeated missed showers and bed baths for six residents who required substantial, maximal, or dependent assistance with bathing and showers.

One resident with a cerebrovascular event and hemiplegia/hemiparesis was dependent on staff for bathing and was scheduled to receive bed baths/showers from hospice staff twice weekly, but hospice shower sheets showed five missed baths/showers out of 13 opportunities. A CNA reported never having provided this resident with a shower or bath, stating that hospice performed the showers. Another resident with a right femur fracture, history of falls, depression, and anxiety, who required substantial/maximal assistance, was scheduled for showers twice weekly but missed 12 of 13 scheduled showers; the resident reported sometimes receiving assistance with bathing in bed or at the bedside table. A resident with COPD, depression, anxiety, Alzheimer’s disease, dementia, schizophrenia, and UTI, who required substantial/maximal assistance and had severely impaired vision, was scheduled for showers twice weekly but missed 11 of 14 scheduled showers.

Additional residents with cerebrovascular events and hemiplegia/hemiparesis or with heart failure, muscle wasting, and stroke with hemiplegia/hemiparesis, who required partial to moderate or substantial/maximal assistance, also did not receive their scheduled showers. One resident scheduled for twice-weekly showers missed 12 of 14 opportunities and stated they did not receive showers twice a week. Another resident scheduled for twice-weekly morning showers missed all 14 scheduled showers and could not remember the last time they had a shower or bed bath. A further resident scheduled for twice-weekly showers missed 10 of 14 opportunities and reported being lucky to get one shower a week, stating staff told them it was not their shower day. The DON stated he expected residents to receive at least two showers a week, acknowledged that hospice residents did not receive regular showers except when there was an accident or need, and said missed documentation likely meant refusals, while the Administrator stated she expected at least two showers a week and for refusals to be documented.