Failure to Provide Scheduled Showers per Resident Care Plan
Penalty
Summary
The deficiency involves the facility’s failure to provide showers according to a resident’s care plan and stated preferences. A cognitively intact resident with a history of strokes required moderate staff assistance for transferring in and out of the shower and for bathing, as documented on a quarterly MDS dated 1/26/26. The resident’s care plan, revised on 2/9/26, specified that he required assistance with ADLs, including bathing and transferring, and that staff were to honor his specific daily preferences, such as choosing a shower or bath. A master shower schedule showed he was to receive two showers per week on Wednesday and Saturday evenings. Documentation Survey Reports for February and March 2026 showed multiple missed scheduled showers. In February, the resident received showers only on 2/18/26 and 2/25/26 and a complete bed bath on 2/19/26, while scheduled showers were not provided on 2/4, 2/7, 2/11, 2/14, 2/21, or 2/28/26. In March, the resident received showers on 3/5 and 3/11/26, but scheduled showers were not provided on 3/7/26 or 3/14/26. In a confidential interview, it was alleged that the resident had not received showers per his preference and care plan. During an interview on 3/16/26, the DON confirmed the resident was scheduled for two showers per week and acknowledged that, according to the documentation, the resident had not received showers as scheduled, despite facility policy requiring showers or baths at least twice weekly according to the shower schedule.
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