Failure to Provide Scheduled Bathing Assistance per Residents’ Needs and Preferences
Penalty
Summary
Surveyors found that the facility failed to provide assistance with activities of daily living (ADLs), specifically bathing and showers, in accordance with residents’ assessed needs, preferences, and scheduled care. Facility policy dated 1/19/26 stated that, based on the comprehensive assessment and resident choices, the facility would ensure residents’ abilities in ADLs do not deteriorate unless unavoidable and that care and services would be provided for bathing, dressing, grooming, and oral care. For one resident with anemia, hypertension, and BPH, the MDS showed a need for substantial/maximal assistance with bathing, and the task card scheduled showers on Wednesdays and Saturdays during day shift. However, December 2025 and January–February 2026 shower documentation showed multiple dates on which no shower or bath was provided, and the resident reported not receiving showers consistently, having to ask for them, and sometimes only being offered showers at night, which was not his preference. A second resident, with malnutrition, paraplegia, and chronic pain syndrome, was assessed as dependent for bathing, with showers scheduled on Fridays and Tuesdays. Review of December 2025 through February 2026 shower records showed numerous missed showers or baths, and the resident stated a preference for showers over bed baths and that showers were not provided consistently. A third resident, with heart failure, PVD, and a thyroid disorder, required partial/moderate assistance with bathing and was scheduled for Wednesday and Saturday day-shift showers. Documentation for December 2025 and January 2026 again showed multiple dates with no shower or bath provided. During an interview, the DON was informed that baths and/or showers had not been offered on the identified dates and that the facility failed to provide ADL services for these three residents, in violation of 28 Pa. Code 211.10(d) and 211.12(c)(d)(1)(3)(5).
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