F0677

E

Failure to Provide Scheduled Bathing and Grooming Assistance for Dependent Residents

North Canton, Ohio Survey Completed on 03-10-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide scheduled assistance with activities of daily living (ADLs), specifically bathing and grooming, to multiple residents who were dependent on staff for these services. Resident #1, admitted with chronic respiratory failure, diabetes mellitus, and repeated falls, had intact cognition and was dependent on staff for ADLs. His shower schedule indicated showers on Sunday and Thursday afternoons, but review of shower sheets and the electronic medical record from 01/01/26 through 03/01/26 showed multiple missed showers on specific dates. In interview, he reported that he was not receiving showers as scheduled and usually only received one shower per week, despite his preference for at least two showers weekly. The DON confirmed that all available shower documentation had been provided.

Resident #4, with chronic kidney disease, hypertension, hemiplegia of the left non-dominant side, and anxiety, also had intact cognition and required substantial to maximum assistance for showers and bathing. Her shower schedule listed showers on Mondays and Thursdays on dayshift, yet documentation from 01/01/26 through 03/01/26 showed numerous dates on which showers were not provided. In interview, she stated she was not getting showers as scheduled according to her preferences. Resident #57, admitted with depression, chronic pain, and anemia, had intact cognition, no behaviors or rejection of care, needed substantial to maximum assistance for showers, and was occasionally incontinent of urine. Her shower schedule also indicated Monday and Thursday showers on dayshift, but records showed several missed showers over the same review period. She reported that she was not getting showers as she should and had to argue with staff to receive some showers. The DON verified that all shower documentation for these residents had been provided.

Resident #13, admitted with Alzheimer’s disease, senile degeneration of the brain, depression, adult failure to thrive, history of falling, and unspecified dementia, had a moderate cognitive impairment. Observations on two separate days showed that this female resident had a significant amount of grey/white chin hair approximately one inch long. An LPN confirmed that the resident was unable to complete her own shaving and that someone would shave her. In a subsequent interview, the resident stated she preferred to have her chin hair shaved and requested shaving at that time; observation showed the chin hair was still present, and another LPN acknowledged the chin hair had not been shaved and said she would find someone to assist. Review of progress notes and behavioral tracking for March 2026 revealed no refusals of care related to shaving or personal care. The resident’s care plan documented a self-care deficit with goals for her to be clean and well-groomed, including dependent assistance with personal hygiene and bathing. The facility’s ADL policy required provision of appropriate support and assistance with hygiene, grooming, and other ADLs for residents unable to perform them independently, which was not followed for these residents.