Woodland Manor Nursing Center

Review of the resident's quarterly MDS assessment, dated 11/08/25, showed:- No cognitive impairment;- Substantial/maximal assist from staff for upper body dressing;- Dependent on staff for lower body dressing;- Partial or moderate assistance from staff for personal hygiene;- Dependent on staff for showering/bathing.

Review of the facility's shower schedule showed the resident's shower days were Monday and Thursday.

Review of the resident's shower sheets from October 1 to December 31, 2025 showed:- In October, the resident received no showers, for a total of eight missed showers out of eight opportunities;- In November, the resident received no showers, for a total of eight missed showers out of eight opportunities;- In December, the resident received a shower on 12/15, for a total of eight missed showers out of nine opportunities.During an interview on 12/31/25 at 12:29 P.M., Resident #2 said he/she did not get his/her showers twice a week.

He/she received a shower every two or three weeks but wanted one at least once a week. He/she did not get a bed bath in between showers.

Staff only wiped his/her butt when they cleaned him/her up. He/she couldn't remember the last time he/she had a shower.

Observation of the resident's room during the interview showed a musty urine/body odor. 3.

Review of Resident #5's medical record showed:- admission date of 03/16/23;- Diagnoses of muscle weakness, need for assistance with personal care, and Parkinson's disease (a progressive movement disorder of the nervous system).

Review of the resident's quarterly MDS assessment, dated 12/21/25, showed:- Moderate cognitive impairment;- Partial or moderate assistance from staff for upper body dressing;- Substantial/maximal assistance from staff for lower body dressing;Partial or moderate assistance from staff for personal hygiene;- Substantial/maximal assistance from staff for showering/bathing.

Review of the facility's shower schedule showed the resident's shower days were Monday and Thursday.

Review of the resident's shower sheets, dated October 1 to December 31, 2025, showed:- In October, the resident received no showers, for a total of eight missed showers out of eight opportunities;- In November, the resident received a shower on 11/05, 11/13, 11/17, 11/20, 11/24 offered but refused, and 11/27, for a total of two showers missed out of eight opportunities;- In December, the resident received a shower on 12/04, 12/08, 12/11 offered but refused, 12/15, 12/18, and 12/25 offered but refused, for a total of three showers missed out of nine opportunities.

During an interview on 12/31/25 at 1:06 P.M., the resident said he/she only received showers once a week but would like them twice a week.

During an interview on 12/31/25 at 1:14 P.M., the Social Services Director said he/she had done grievances for residents not getting their showers.

They had been talking about it, and the Director of Nursing (DON) was aware. He/she didn't notice a resident odor, but he/she noticed the hair. He/she would go on the floor and see the greasy hair, he/she mentioned it to staff, and the resident would get put on the shower schedule.

During an interview on 12/31/25 at 1:26 P.M., the Assistant Director of Nursing (ADON) said there was an issue with residents receiving showers.

She didn't think staff encouraged the residents to take showers.

She thought that was a big problem.

During an interview on 12/31/25 at 4:37 P.M., the ADON said staff were to fill out shower refusals, but they may not be scanned in yet because of Medical Records being behind.

She did not know if the forms were not being filled out, scanned in, or if the staff were not doing what they were supposed to be doing.

During an interview on 12/31/25 at 6:00 P.M., the Administrator, ADON, and Nurse Manager B said they would expect staff to offer the residents a shower at least twice a week.

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