Failure to Provide Showers per Resident Preference and Care Plan
Penalty
Summary
Surveyors identified a failure to provide bathing care according to a resident’s preferences and care plan. Facility policy dated October 28, 2025, required that residents be bathed or showered according to their preferences to maintain hygiene and skin condition, and that the charge nurse speak with any resident who refused, attempt alternative arrangements, and document refusals in the medical record. Resident 5 had a quarterly MDS dated December 4, 2025, showing cognitive impairment, dementia, and a need for staff assistance with daily care needs including bathing. The resident’s care plan dated July 29, 2024, specified a preference for showers twice weekly on Wednesdays and Saturdays, with the option to refuse and receive a bed bath instead. Review of the bathing detail report for Resident 5 from December 1, 2025, through January 31, 2026, showed multiple missed showers on scheduled Wednesdays and Saturdays, including but not limited to December 6, 10, 13, 17, 20, 24, 27, 29, 2025, and January 3, 7, 10, 17, 21, 24, and 31, 2026. There was no documentation that showers were offered on these dates, that the resident refused, or that alternative bathing such as a bed bath was provided. In an interview on February 3, 2026, at 1:06 a.m., the Assistant DON confirmed there was no documented evidence that staff offered showers and that the resident should have received showers per her stated preferences and plan of care, resulting in noncompliance with 28 Pa. Code 211.12(d)(5) Nursing services.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.