Failure to Provide Scheduled Showers and ADL Assistance
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled showers and personal care to dependent residents who required assistance with activities of daily living (ADLs). One resident with dementia, muscle weakness, diabetes, and impaired mobility had a care plan dated 08/27/25 indicating a need for assistance with self-care, ADLs, and mobility, with a goal to remain clean, dry, dressed, groomed, and free of odors. Interventions included dependent shower assistance by one helper, and an MDS dated 11/18/25 showed the resident required maximum assistance for bathing. The shower schedule showed this resident was to receive showers on Mondays and Fridays on dayshift, but shower records revealed missed showers on 02/20/26 and 02/27/26. Another resident with hypertension and cancer had a care plan dated 08/15/25 indicating dependence on staff for bathing/showering due to pain, limited mobility, limited range of motion, and weakness, with a goal to maintain current ADL function. An MDS showed this resident was dependent on staff for bathing and had refused care on four to six days during the review period. The shower schedule indicated showers on Tuesday and Friday dayshift, but shower records showed missed showers on 12/26/25 and 12/30/25. A third resident with hypertension, osteoarthritis, impaired mobility, weakness, cognitive deficits, and pain had a care plan dated 10/13/25 requiring assistance with self-care, ADLs, and mobility, including assistance as needed with showers twice weekly or per preference and partial assist with showers. The MDS indicated moderate assistance was needed for bathing/showering, and the shower schedule listed Tuesday and Friday nightshift. Shower records showed this resident did not receive showers on 10/21/25, 11/06/25, 11/13/25, 11/25/25, and 11/28/25. In an interview on 03/04/26 at 1:10 P.M., the ADON confirmed these residents were not provided scheduled showers and that there was no other documentation to show the showers were given.
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