Failure to Provide Scheduled Showers and Document Bathing Care
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled bathing assistance and maintain grooming and personal hygiene for a cognitively intact resident who required supervision or touching assistance with bathing. The resident, an older female with vascular dementia, hypertension, major depressive disorder, and stage 3 chronic kidney disease, was care planned for supervision as needed with bathing and was scheduled for showers on Mondays, Wednesdays, and Fridays. Documentation Survey Reports for February 2026 showed the resident was scheduled for 12 showers/baths but did not receive 7 of them, with missed showers on multiple specified dates. On some dates, the Documentation Survey Report listed scheduled bathing as “not applicable,” and on others there were blank spaces where showers were scheduled, both of which the DON and CNA A indicated meant the shower was not done. The EMR contained no shower refusal sheets for the month, and the DON confirmed there were no unuploaded refusal sheets for this resident. During interviews, the resident stated she did not remember if she had missed showers over the past two months but reported that staff did not come to get her for showers and that she had to pursue getting a shower if she wanted one. She stated she did not refuse showers and that when she did not receive her scheduled showers, she felt “yucky.” CNA A, who worked as the shower aide, reported that residents were to receive showers every other day, that a blank on the Documentation Survey Report indicated a shower was not done, and that refusals should be documented on a shower refusal sheet and in the Documentation Survey Report. The DON stated she expected residents to receive showers three times a week and that refusals occurring more than twice in one week should be documented in progress notes. Review of the facility’s bathing policy indicated that bathing is done to remove soil, dead epithelial cells, microorganisms, and body odor to promote comfort, cleanliness, circulation, and relaxation, and that aging skin can be maintained by bathing every two days or with partial bathing as needed, underscoring that the resident’s scheduled bathing was not provided as planned or documented as refused.
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