Print Inspection: 5QNV

Based on interview and record review, conducted during a site visit on 08/14/24, it was confirmed the facility does not ensure the implementation of services for 1 of 1 sampled resident (#3). Findings include, but not limited to.

During an interview on 08/14/24, Staff 1 (LPN) indicated s/he was informed that morning Resident 3 had not received his/her shower as scheduled on Monday 08/12/24. Staff 1 had been in the middle of an internal investigation as to why. The care staff had unwrapped Resident 3's leg and had been waiting for Staff 1 to assess it.

A review of the facility shower schedule indicated Resident 3 was to receive showers on Monday and Friday in the morning.

A review of Resident 3's shower sheets from 07/15/24 through 08/14/24 indicated resident had been provided showers on 07/15/24 and 08/05/24 and had revised a shower on 07/1924. Resident 3 had not been provided six of the nine showers during the timeframe.

It was confirmed the facility does not ensure the implementation of services.

On 08/14/24, the findings were reviewed with and acknowledged by Staff 1 and Staff 4 (ED).

Verbal plan of correction: The facility will review shower logs and sheets. Staff 1 will speak with Resident 3 to see what time s/he would prefer his/her showers and will provide him/her a shower today.