Failure to Provide Scheduled Assisted Showers for a Dependent Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide required assistance with activities of daily living (ADLs), specifically bathing, to one resident. Facility policy on ADLs, last reviewed in December 2024, states that care and services for hygiene, including bathing, dressing, grooming, and oral care, will be person-centered and honor each resident’s preferences, choices, values, and beliefs. Review of the resident’s admission MDS dated February 20, 2026, showed the resident uses a wheelchair and requires supervision or touching assistance with showering/bathing and with tub/shower transfers. During an interview on March 3, 2026, the resident reported not receiving scheduled showers on March 2 and March 3, 2026, and stated staff told him/her there were not enough staff scheduled on the unit to provide the care. The resident expressed a desire to have a shower and requested that staff be made aware. In a subsequent interview on March 4, 2026, when this information was presented to the Nursing Home Administrator (NHA) and Director of Nursing (DON), they stated that residents often refuse showers, prefer bed baths, and some are care planned for bed baths only; however, they did not confirm that this resident preferred or was care planned for bed baths only. The deficiency was cited under Quality of Care 483.24(b)(1) and related Pennsylvania nursing services and clinical records regulations.
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