Failure to Provide Scheduled Showers for Two Residents
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled bathing for residents who required staff assistance. For one resident with hypertension who was cognitively intact and required partial staff assistance for bathing, the clinical record showed a grievance had been filed stating she was not receiving her showers or having her hair washed. The grievance also noted that staff had been educated on her preference for a shower rather than a complete bed bath. Her shower schedule, updated on 4/1/26, listed Tuesday and Friday as her shower days, yet review of electronic and paper shower documentation showed she did not receive showers on several scheduled dates between 3/9/26 and 4/9/26, specifically on 3/10/26, 3/27/26, and 3/31/26. Another resident with dementia, who was cognitively intact per the admission MDS and required staff supervision during bathing, also did not receive showers on multiple scheduled days. His shower schedule, updated on 4/1/26, indicated Wednesday and Saturday as his shower days. Review of shower documentation from 3/11/26 to 4/9/26 showed missed showers on 3/14/26, 3/18/26, and 3/25/26. Documentation further indicated that this resident refused a shower on 4/8/26 because it was offered outside of his preferred shower time. The facility’s Residents Rights policy, revised 7/2023, stated that all staff members recognize the rights of residents at all times to enable personal dignity, well-being, and proper delivery of care, but the documented missed showers demonstrated that scheduled bathing was not consistently provided as planned.
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