Failure to Provide Scheduled Bathing Assistance for Dependent Resident
Penalty
Summary
The facility failed to ensure that a resident who was dependent on staff for activities of daily living received scheduled bathing to maintain personal hygiene. The resident had muscle weakness and moderate cognitive impairment, with an MDS indicating a need for substantial/maximal assistance with showering/bathing. The resident’s ADL care plan documented that she required substantial assistance by one to two staff for bathing/showering as needed. The resident reported that she did not receive showers and that she was supposed to receive bed baths every Tuesday and Friday, but there was a period when she only received one bed bath. CNAs interviewed stated that the resident was scheduled for showers or bed baths on Tuesdays and Fridays, but one CNA reported there were times the resident did not receive her bed bath as scheduled, and another CNA stated she had not seen the resident receive showers or bed baths. Record reviews showed multiple missed or undocumented bathing opportunities during the review period. The facility’s shower schedule listed the resident for afternoon showers on Tuesdays and Fridays. Documentation for 2/1/26 through 2/28/26 showed “NA” entries for bathing/shower on several Mondays, with the DSD explaining that “NA” also indicated refusals, and there were no other days marked showing that showers or bed baths were provided. A task record for shower/bath showed refusals documented on three dates, with no other days marked as completed. Weekly shower checklists indicated refusals on two dates and one bed bath on another date, with no additional checklists available. Staff interviews indicated that when residents refused showers, they would typically offer bed baths or alternative times, but the DSD confirmed there were no other days documented when alternative schedules were offered and acknowledged that the resident’s needs were not met. The facility’s policy stated that residents were to be assisted with bathing to maintain proper hygiene, stimulate circulation, and help prevent skin issues, but this was not consistently carried out for this resident during the review period.
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