Columbia Healthcare Center

• On 9/4/25 at 12:02 P.M., Resident F's clinical record was reviewed.

Resident F's diagnoses included, but were not limited to, quadriplegia.

The most recent Significant Change Minimum Data Set (MDS) Assessment, dated 8/6/25, indicated Resident F was dependent on staff (staff do all of the work) for bathing.

The current care plan included, but was not limited to: Resident requires assistance with ADLs (activities of daily living); Assist with bathing as needed per resident preference.

Offer full bed bath two times per week, partial bath in between.

Start date: 9/23/24 A current shower schedule indicated Resident F received showers on Tuesday and Friday during the evening shift.

The Point of Care Task Response for Showering and shower sheets were reviewed.

Resident F did not receive or refuse showers or a complete bed bath on the following scheduled days in August 2025: 8/1/25 8/5/25 8/12/25 8/22/25 On 9/4/25 at 9:36 A.M., the Director of Nursing (DON) indicated that shower sheets were a part of the clinical record.

Staff were supposed to transfer all information on the shower sheets over to the POC Response, but sometimes they forgot.

On 9/4/25 at 2:42 P.M., the Assistant Director of Nursing (ADON) indicated that residents got at least two showers per week or more if that was what they preferred. If a resident refused a shower, staff should reattempt or offer to give the shower on a day and time that the resident preferred.

On 9/8/25 at 11:00 A.M., the Administrator provided a current undated Resident Rights policy that indicated You have the right to be treated with dignity and respect, as well as make your own schedule and participate in the activities you choose.

This citation is connected to Intake 2592689. 3.1-38(a)(2)(A)3.1-38(b)(2)

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