Failure to Provide and Document Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to provide scheduled showers and document bathing care for dependent residents as outlined in their care plans and facility policy. One resident with hemiplegia, tremors, anxiety disorder, and major depressive disorder was care planned and scheduled to receive showers on Mondays and Fridays and required assistance with all ADLs. Review of the shower schedule and shower sheets showed only a few showers documented over a multi-month period, and CNA Point of Care records showed no evidence of showers since admission. The resident reported she did not receive showers as scheduled, stating she was fortunate to receive one shower per week and that she was upset about not getting the two weekly showers planned. Another resident with Alzheimer’s disease, protein calorie malnutrition, major depressive disorder, and chronic kidney disease was care planned as totally or nearly dependent on staff for bathing, hygiene, and dressing, with showers scheduled twice weekly. Review of shower documentation revealed multiple missed shower dates with no evidence that showers were provided on those days. Nursing progress notes contained no documentation of shower refusals or attempts to provide showers at a later time. The resident’s daughter reported staff told her the resident refused showers, but she stated the resident does not speak and expressed confusion about how the resident could refuse. The DON confirmed the missing shower documentation for both residents and stated that showers are to be provided as care planned, requested, and as needed unless refusals are documented, as required by the facility’s ADL policy.
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