F0677

D

Failure to Provide Scheduled Bathing Assistance to Dependent Residents

Cedar Rapids, Iowa Survey Completed on 03-02-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide scheduled bathing assistance to multiple residents who required staff help with activities of daily living (ADLs), specifically bathing. Resident #4, who had diagnoses including heart failure, chronic kidney disease, type 2 diabetes, COPD, and a left diabetic foot ulcer, was cognitively intact with a BIMS score of 15/15 and required moderate assistance of one staff member for bathing per the MDS and care plan. He reported not receiving a shower for an entire week, despite being scheduled for showers on Wednesdays and Saturdays, and stated staff told him there was not enough staff and that baths were not done on Sundays. Bathing records showed missed showers on multiple specific dates in December 2025, January 2026, and February 2026.

Resident #2, with hemiplegia affecting the right side and a BIMS score of 15/15, also required assistance of one staff member for bathing per the MDS and care plan and reported not receiving twice-weekly baths. Her bathing records showed missed showers on identified dates in December 2025, January 2026, and February 2026. Resident #3, who had a history of stroke with left-side hemiplegia and epilepsy, was cognitively intact with a BIMS score of 15/15 and required assistance of one staff member for bathing per the MDS and care plan; he reported taking baths/showers on Tuesdays and Fridays, but records showed a missed shower on a specific date in January 2026. A CNA stated that residents were not getting their baths as scheduled because staff were pulled to cover other units when staff did not show up for work, leaving units short. This pattern of missed baths conflicted with the facility’s ADL policy, which stated that residents unable to perform ADLs independently would receive services necessary to maintain grooming and personal hygiene.