Failure to Provide Required Bathing and Grooming Assistance
Penalty
Summary
The deficiency involves the facility’s failure to provide necessary assistance with activities of daily living (ADLs), specifically bathing and grooming, to a resident who required help. The resident was an adult female with muscle wasting, muscle weakness, a need for assistance with personal care, depression, and upper and lower extremity limitations bilaterally. Her Quarterly MDS showed moderate cognition with a BIMS score of 10 and documented that she required partial/moderate assistance for showers and baths, and supervision for personal hygiene including shaving. Review of shower records from February 1 to February 17, 2026, showed she received showers on three dates and refused one shower, but there was no documentation of showers or refusals on two of her scheduled shower days. On observation, the resident was noted to be wearing stained and dirty clothing and had significantly visible facial hair on her chin. During interviews, the resident reported that she frequently asked staff to shave her facial hair and for showers, but staff often ignored her requests, and she could not recall the last time her chin hair was shaved or when she last had a shower. CNA A acknowledged the resident’s visible facial hair, could not recall when she last bathed or shaved the resident, and stated the resident’s shower days were three times per week, but she did not recall if she had bathed the resident on the most recent scheduled days. CNA B stated that residents are offered showers multiple times if they initially refuse and that grooming is required with each shower unless refused. The ADON and DON both stated that residents should receive showers and shaving on scheduled days and upon request, and that refusals should be documented, but the ADON confirmed there was no documentation of refusals for the missed shower days and could not explain why the showers did not occur. The facility’s ADL policy required appropriate support and assistance with hygiene, including bathing, dressing, grooming, and oral care, for residents unable to carry out ADLs independently.
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