Failure to Provide Scheduled Showers for Dependent Resident
Penalty
Summary
The facility failed to provide scheduled showers for one resident who required assistance with activities of daily living (ADLs). Record review showed that this resident was admitted on 10/13/25 and discharged on 01/07/26, with a care plan indicating the resident should be offered a bath/shower twice weekly on Tuesdays and Thursdays and as needed. Review of the electronic health record (EHR) from 09/01/25 through 11/30/25 revealed that from 10/13/25 through 10/31/25, the resident was offered or received only 2 baths/showers out of 6 scheduled opportunities, and from 11/01/25 through 11/30/25, the resident was offered or received 0 baths/showers out of 2 scheduled opportunities. During an interview on 03/19/26 at 11:54 a.m., the Unit Manager confirmed that the showers for this resident did not occur as scheduled. The Unit Manager also stated that the facility’s expectation is for CNAs to shower residents on their scheduled days and document in the EHR after each opportunity, whether the shower was given, missed, or refused. The deficient practice was noted as likely to result in residents feeling dirty and neglected, resulting in isolation.
