Failure to Provide Weekly Baths/Showers According to Resident Choice
Penalty
Summary
The deficiency involves the facility’s failure to honor residents’ rights to self-determination and to provide weekly baths or showers in accordance with resident choice and facility policy. The facility’s policy on Resident Self Determination and Participation, dated 10/30/25, states that each resident is allowed to choose a daily routine, including bathing schedules. Resident Council minutes from 12/16/25 documented resident concerns that showers were not being offered as scheduled. Despite this, review of clinical and bath/shower documentation for multiple residents showed that weekly baths/showers were not consistently provided during the review period of 1/06/26 through 2/02/26. One resident with lumbar spina bifida, diarrhea, diabetes mellitus, and respiratory failure received only three baths/showers in a 28-day period. Another resident with respiratory failure with hypoxia, epilepsy, hyponatremia, and hypokalemia had documentation showing only two baths/bed baths in the same 28-day period. A third resident with spastic quadriplegic cerebral palsy, chronic respiratory failure, vitamin deficiency, and epilepsy had only bed baths documented on five dates and no showers during the 28-day period. A fourth resident with cerebral palsy, chronic respiratory failure with hypoxia, asthma, and myopathy had documentation of bed baths but no evidence of any bath/shower during the same timeframe. In an interview, the Nursing Home Administrator confirmed that the facility did not provide baths/showers according to residents’ preferences for the identified period for these residents.
