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Based on review of one of one closed record the charge RN failed to supervise and evaluate nursing care by failing to ensure patient's hygiene needs were met.
Findings:

Record review reflected the patient, an 82 year old female, was admitted to the facility on 8/9/2010; discharged on 8/14/2010. The initial nursing assessment reflected the patient was at high risk for falls and needed assistance with activities of daily living (ADLs). After a 5 day length of stay there was no evidence in the record the patient was attended to to ensure she had a bath or shower.

Based on record review and interview, there was a failure to include the patient's family in discharge planning to prepare the family for post-hospital care.
Findings:

Record review reflected the patient, an 82 year old female, was admitted to the facility on 8/9/2010 because she could not function at home after learning her 88 year old husband had been diagnosed with cancer. The patient was accompanied to the hospital by her husband, daughter-in-law, and granddaughter all of who were worried because the patient had never received psychiatric treatment.
At time of admission the patient signed consent to release information about her treatment to her husband, son, and daughter-in-law. However, neither attending psychiatrist or individual therapist/discharge planner contacted the family at any time during the patient's hospitalization.
On 9/27/at 1:10pm attending psychiatrist (ID#50) verified he did not contact the patient's family at all.
On 9/27/2010 at 2:40pm individual therapist/discharge planner (ID#51) verified she did not contact the patient's family at all for discharge planning