Failure to Provide Scheduled Twice-Weekly Showers to Dependent Resident
Penalty
Summary
The facility failed to provide scheduled showers twice weekly to a dependent resident, resulting in missed showers without documented refusals. The resident had chronic kidney disease, diabetes, chronic pain, and morbid obesity, and was cognitively intact with a Brief Interview of Mental Status score of 14 out of 15. The resident’s care plan, initiated on 03/14/2025, specified that the resident was to receive showers twice weekly and requested that staff ensure she was dry and that skin folds were patted dry. Shower documentation for February 2026 showed the resident received showers on 2/3/26, 2/10/26, 2/18/26, and 2/21/26, with no documentation that the resident declined showers between 2/3/26 and 2/10/26 or between 2/10/26 and 2/18/26, indicating two missed showers. The resident reported that staff almost weekly forgot to provide showers, that she often had to remind them, and that sometimes staff did not have time until later in the day, and the DON confirmed the resident was scheduled and care planned for two showers per week and had missed two showers in February 2026. These findings show that the facility did not follow the resident’s care plan and scheduled bathing routine, and did not document any refusals or other reasons for the missed showers, despite the resident’s dependence on staff for activities of daily living and her expectation of two routine showers per week on specific days.
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.