Failure to Provide Scheduled Showers and Document Bathing Care
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled bathing and shower care, as required by its Shower Care policy and residents’ care plans, for six residents who needed assistance with activities of daily living. The facility policy, revised 12/24/2020, states that residents are to be assisted with showers, baths, or bed baths per regulation and personal preference to maintain hygiene and help prevent skin issues. Resident Council minutes from two separate meetings document ongoing complaints that residents were not being showered regularly, with some going a week without a bath or shower, reports that staff would put a resident down and forget about her, and a report that a resident was not being showered properly. During a resident group meeting, multiple residents stated they did not receive weekly showers, with one reporting usually only one shower every two weeks and sometimes going three weeks without one, and another stating they had to beg for a shower. Individual record reviews and observations confirmed missed showers without documented reasons. One resident reported not receiving weekly showers, sometimes only every two weeks or longer, and was observed in bed with eyes open and a strong urine odor; this resident’s care plan required showers twice weekly, yet the shower task record showed no showers over a two‑week period and no documentation explaining the omission. Another resident reported not receiving showers due to an open chest area; this resident’s shower task record showed no showers for nearly a month, again with no documentation explaining why. A CNA reported that showers often were not given and that completion depended on staffing and call‑ins, and stated that one resident had an offensive odor and likely had not had a recent shower. A third resident, dependent on staff for bathing and cognitively impaired per the MDS, had no documented showers over almost a month and no explanation in the electronic record. The DON stated she was not aware that residents were not receiving showers.
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