F0677

D

Failure to Provide and Document Scheduled Bathing Assistance for Two Residents

Dayton, Ohio Survey Completed on 02-11-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure that baths/showers were offered or completed as scheduled for residents requiring assistance with activities of daily living (ADLs). For one resident with cirrhosis of the liver, a left above-knee amputation, and diabetes mellitus, the quarterly MDS showed the resident was cognitively intact and required supervision or set-up assistance for several ADLs. Shower documentation over a several-week period showed specific dates when showers were either completed or refused, but there were gaps where no documentation existed to show that a bath or shower was offered or provided between certain dates, despite the facility’s expectation that such care be routinely provided.

For another cognitively intact resident with chronic obstructive pulmonary disease, morbid obesity, diabetes mellitus, and chronic respiratory failure, the annual MDS indicated independence with most ADLs and a need for set-up assistance with showers and transfers. Shower records over approximately one month documented instances of completed showers, refusals, and times when the resident was not available or not in the room, but again showed gaps with no documentation that showers were offered or provided between scheduled dates. This resident reported that staff did not provide assistance with showers as scheduled. The DON stated that when a resident is not available at the scheduled bath/shower time, staff are supposed to offer the bath/shower the next day and document any refusals, and confirmed that the records for both residents lacked documentation to support that baths/showers were provided or offered as scheduled, contrary to the facility’s ADL policy requiring provision and documentation of hygiene care and refusals.