Print Inspection: Z7H5

Based on interview and record review, conducted during a site visit on 03/19/24, it was confirmed the facility failed to provide showering assistance for 1 of 1 sampled resident (# 3). Findings include, but are not limited to:

Resident 3's service plan, dated 02/20/24, indicated Resident 3 was to receive standby assist for showers twice a week on Tuesdays and Fridays.

During an interview on 03/19/24, Staff 5 (Caregiver) stated the facility used shower logs and refusal sheets to keep track of resident showers. S/he further stated it was difficult for staff to find time to shower residents, and showers were skipped when staff were busy providing other services to residents such as toileting and meal assistance.

A review of shower log and refusal sheets, dated 01/01/24 through 03/19/24, indicated Resident 3 had received a standby assist shower once on 03/05/24.

The findings of the investigation were reviewed with and acknowledged by Staff 1 (Administrator), Staff 2 (Health Services Director), and Staff 3 (Resident Care Coordinator) on 03/19/24.

It was determined the facility failed to provide showering assistance for a resident.

Verbal plan of correction: Management to conduct a daily review of shower binders, re-do shower schedule and enter it into TAR so a MT has to sign off. To go into effect 03/20/24.