The resident, identified as R6 in federal inspection records, told inspectors on December 29 that shower schedules kept changing and staff repeatedly failed to provide the assistance documented in her care plan. "R6 goes two weeks without getting showers," the resident told federal inspectors during a complaint investigation completed December 30.
R6 filed a formal grievance on November 10, stating she had not received a shower in two weeks. The resident is cognitively intact but depends entirely on staff for bathing due to her amputations, according to her clinical assessment.
Her care plan specifically documents that she "requires supervision/assistance to complete" activities of daily living due to her above-knee amputations and includes an intervention requiring showers twice weekly. The facility's own shower schedule lists R6 for Tuesday and Friday evening showers on second shift, matching her stated preference for bathing after 7:00 PM.
But shower documentation provided by the Director of Nursing shows massive gaps in care. Between November 10 and December 29, R6 received only six showers across seven weeks. The documentation shows showers on November 10, November 20, November 25, December 17, December 26, and December 29.
That schedule created stretches of 10 days without bathing for a resident who cannot shower herself.
The facility's own records reveal the confusion R6described to inspectors. A December 2 report documents that "R6 did not know that R6's shower day was changed and R6 would wait until Friday." The resident told inspectors her shower days "used to be Mondays/Thursdays and then changed to Tuesdays/Fridays."
When the Director of Nursing provided shower records to inspectors on December 29, she confirmed the gaps in documentation and stated "that is all the documentation V2 was able to locate." She acknowledged that showers are scheduled twice per week and confirmed the obvious gaps in R6's care.
The facility's shower policy, dated February 2018, states the purpose is "to promote cleanliness, provide comfort and monitor skin condition." The policy requires staff to document when residents refuse showers and notify supervisors.
Yet on December 5, R6's shower response history shows "not applicable" rather than documentation of either a completed shower or a refusal. The Director of Nursing told inspectors that refusals would be documented on the paper shower forms, but no refusals appear in R6's records during the weeks she went without bathing.
Federal inspectors found the facility failed to provide care and assistance with activities of daily living for residents unable to perform them independently. The violation carried a determination of minimal harm or potential for actual harm.
For R6, the impact went beyond missed hygiene. The facility's policy acknowledges that regular bathing serves to monitor skin condition, particularly crucial for a resident with amputations who may be at higher risk for skin breakdown or infection.
The inspection occurred following a complaint and focused on staffing issues affecting eight residents. R6 was the only resident among four reviewed who experienced failures in scheduled shower assistance.
The resident's experience illustrates how staffing problems can cascade into basic care failures. Despite clear documentation of her physical limitations and twice-weekly shower requirements, the facility repeatedly failed to provide assistance she needed and was entitled to receive.
R6's November grievance demonstrates she advocated for herself when care fell short. But even after filing a formal complaint about going two weeks without showers, the gaps continued into December.
The facility has not explained why shower schedules changed repeatedly or why staff failed to provide assistance during the documented gaps. The Director of Nursing's acknowledgment that the provided documentation represented all she could locate suggests potential record-keeping problems beyond the missed care itself.
For a cognitively intact resident who depends on staff for basic hygiene due to physical disabilities, the facility's failures represent a breakdown in fundamental care obligations that nursing homes are required to meet.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Eastview Healthcare & Senior Living from 2025-12-30 including all violations, facility responses, and corrective action plans.
Additional Resources
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