F0656

D

Failure to Implement Person-Centered Care Plan for Resident Bathing Preferences

Chambersburg, Pennsylvania Survey Completed on 03-05-2026

Penalty

No penalty information released

Summary

Surveyors identified a failure to implement a comprehensive, person-centered care plan that reflected a resident's preferences and needs. Facility policy dated September 28, 2022, required each resident to have an individualized comprehensive care plan with measurable objectives and timetables that address medical, nursing, mental, and psychosocial needs and reflect the resident's expressed wishes regarding care and treatment goals. Resident 3's clinical record showed diagnoses of muscle weakness and depression. His care plan documented a bathing preference for a shower once a week, with this preference dated January 14, 2024.

During an interview, Resident 3 reported that he did not receive showers very often and described them as "few and far between." Review of shower and bath documentation from February 3, 2026, through March 4, 2026, showed he received only one shower on February 15, 2026, and bed baths at all other times. In an interview, the DON stated that the resident occasionally refused showers and that his autonomy of care was presumed due to his high level of cognition and ability to voice concerns or requests to staff. The DON confirmed that the resident's preferences should have been care planned so all staff providing care would be aware and could make efforts to accommodate them.