Failure to Provide Scheduled Bathing Assistance for Dependent Residents
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled bathing and showers for residents who required assistance with activities of daily living (ADLs). Resident B, who had fractures of the right and left lower extremities, had an ADL self-care deficit and was dependent on staff for bathing per the care plan dated 12/11/25 and the admission MDS dated 12/16/25. His plan of care indicated a preference for bathing on the day shift on Wednesdays and Saturdays, yet the January 2026 shower sheets and task forms showed that bathing did not occur on 1/3/26. Resident C, with diagnoses including seizures and bipolar disorder, required moderate to extensive assistance from one to two staff for bathing per the annual MDS dated 3/6/26 and a care plan revised on 3/17/26. Her preferred bathing days were on the day shift on Mondays, Wednesdays, and Fridays, but shower sheets and task forms for January, February, and March 2026 showed missed baths on January 14 and 30, February 23, and March 2 and 4. The DON stated that bathing was supposed to occur three times a week due to the resident’s poor hygiene. Resident D, diagnosed with diabetes mellitus and a below-the-knee amputation, had an ADL self-care deficit and was dependent on staff for bathing per a care plan revised 10/1/25 and a quarterly MDS dated 3/2/26, with preferred bathing days on the day shift on Tuesdays and Fridays. Shower sheets and task forms for January, February, and March 2026 indicated missed baths on January 24, February 14, 24, and 28, and March 10, and during interview the DON could not locate documentation that these baths had been completed or confirm that they occurred.
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