Failure to Provide Scheduled Bathing Assistance to a Dependent Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide bathing assistance according to the resident’s assessed needs, care plan, and established shower schedule. Resident #2 had an MDS indicating intact cognition with a BIMS score of 15 and required partial/moderate assistance for bathing and supervision/touching assistance for tub/shower transfers. Diagnoses included hypertension, difficulty walking, anxiety, depression, schizophrenia, and bipolar disorder. The resident’s care plan specified assistance of one staff member with washing, rinsing, drying, and dressing for showers, with a preference for scheduled showers two times per week and as needed. The facility’s shower schedule listed the resident for showers on the 6-2 shift on Tuesday, Thursday, and Saturday, with instructions that showers were not considered complete until a shower skin assessment was submitted to the charge nurse. Review of documentation showed that the resident received showers only on 3/3/26 and 3/11/26 during the review period, despite being scheduled for more frequent showers. A grievance form dated 3/11/26 documented that the resident had not received a shower for one week due to the facility being short staffed, and an audit of shower sheets confirmed the last documented shower was on 3/3/26. The resident reported that the shower on 3/11/26 was the first in 13 days, that she had missed one shower while at the hospital, and that on other days showers were not provided because the facility was short staffed. She stated she did not refuse any showers and that staff documented refusals even though showers were not offered. The ADON acknowledged that the resident did not receive scheduled baths on certain days and stated that showers/bathing were expected to be offered per the shower schedule, with at least one bath/shower per week and a bed bath offered if a shower was refused, and that refusals were to be documented with one attempt by the nurse, indicating that these expectations were not met for this resident.
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