F0677

E

Failure to Provide Scheduled and Preferred Bathing for Multiple Residents

Anderson, Indiana Survey Completed on 03-31-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide and document bathing assistance according to residents’ assessed preferences and scheduled care. Multiple residents with significant physical impairments and obesity, including paraplegia and hemiplegia, had care plans and MDS assessments specifying preferred days and time frames for showers or bed baths. For Resident B, who had paraplegia and morbid obesity, the admission MDS and ADL care plan indicated a preference for bed baths on Tuesdays and Fridays between 2:00 p.m. and 10:00 p.m., yet shower sheets and Documentation Survey Reports showed numerous missed scheduled bed baths across January, February, and March 2026.

Resident C, with morbid obesity and paraplegia, had an admission MDS and ADL care plan indicating a preference for showers on Tuesdays and Fridays between 6:00 a.m. and 2:00 p.m. Facility records showed that several of these scheduled showers were not provided in each of the three months reviewed. Resident D, diagnosed with paraplegia, had a quarterly MDS and ADL care plan indicating a preference for showers or bed baths on Monday, Wednesday, and Friday evenings. Documentation revealed repeated missed showers/bed baths on multiple scheduled days in January, February, and March 2026. In an interview, Resident D reported having gone an extended period of time without receiving a shower or bed bath, although he indicated the situation had recently improved.

Resident E, with acute respiratory failure with hypoxia and obesity, had an admission MDS and ADL care plan indicating a preference for showers or bed baths on Wednesdays and Saturdays between 2:00 p.m. and 10:00 p.m., but facility records showed multiple missed scheduled showers over the three-month review period. In an interview, Resident E stated that showers were frequently not given as scheduled and that she had attended physician appointments feeling unclean and uncomfortable, apologizing for her condition at a recent outside appointment. Resident F, with hemiplegia and hemiparesis following cerebral infarction, had a quarterly MDS and ADL care plan indicating a preference for showers on Tuesday and Friday evenings, yet documentation showed numerous missed scheduled showers in January, February, and March 2026. Interviews with the Administrator, a QMA, and the DON confirmed that showers were not always given as scheduled, that staffing issues due to employee absences contributed to the problem, and that showers were to be documented in the electronic record, with shower sheets corroborating the missed care. The facility’s policy on physician services and orders required all physician orders to be followed as prescribed or reasons for noncompliance to be recorded in the medical record during that shift, which was not reflected in the documentation for these missed baths and showers.