Beaumont Rehabilitation And Healthcare Center

Review of a care plan for ADLs, dated 1/5/26, indicated Resident F preferred showers on Tuesdays and Fridays in the evening.

Review of facility shower sheets and Documentation Survey Reports for January 2026 through March 2026, indicated in January 2026, the resident did not receive scheduled showers on the following dates: 1/6, 1/9, 1/13, 1/23, and 1/30. In February 2026, the resident did not receive showers on the following dates: 2/3, 2/6, 2/10, 2/13, and 2/24. In March 2026, the resident did not receive scheduled showers on the following dates: 3/6, 10, and 3/20.

During an interview on 3/31/26 at 9:17 a.m., the Administrator indicated the facility had identified a trending concern related to residents not getting showers on 3/18/26.

The facility initiated an investigation and determined the concern had validation.

The facility had initiated interventions to address the concerns, provided staff re-education and initiated audits to monitor compliance on 3/19/26.

During an interview on 3/31/26 at 2:00 p.m., QMA 1 indicated employee absences caused staffing issues.

Showers were not always given as scheduled, but it was getting better.

During an interview on 3/31/26 at 1:55 p.m., the DON indicated showers were to be documented in the electronic record.

Shower sheets were also provided for review and confirmed the Documentation Survey Reports documentation. A current facility policy, dated 12/1/23 and titled Physician Services and Orders was provided by the DON on 3/31/26 at 2:58 p.m.

The policy indicated the following: .

Procedure .11.

All physician orders will be followed as prescribed and if not followed, the reason shall be recorded in the resident's medical record during that shift.

This citation relates to Intakes 2965192 and 2807975.410 Indiana Administrative Code (IAC) 3.1-38(a)(3)