HospitalInspections.org

Based on document review and interview, nursing services failed to complete daily bathing for 4 of 10 patient MR's (Medical Record) reviewed. (Patients # 2, # 4, # 5 & # 6).

Findings include:

1. Review of hospital policy titled: Patient Personal Care, Policy Stat ID 12197137; on page 1, under Education, indicated Bathing/showers will be offered daily, and under General Care, indicated All patients shall be encouraged or assisted in grooming daily or more often as needed. Last revised 1/2020.

2. Review of Patient # 2 MR, indicated the following:
a. Patient admitted to APH # 40 (Acute Psychiatric Hospital) on 2/6/2025.
b. MR lacked documentation in daily flowsheets and/or daily notes for ADL's (activities of daily living) - hygiene care/bathing, offered or completed or refused, for the following days: 2/6/2025, 2/7/2025, 2/8/2025 and 2/10/2025.

3. Review of Patient # 4 MR, indicated the following:
a. Patient admitted to APH # 40 on 2/4/2025.
b. MR lacked documentation in daily flowsheets and/or daily notes for hygiene care/bathing, offered or completed or refused, for the following days: 2/4/2025, 2/5/2025, 2/6/2025, 2/7/2025, 2/8/2025, 2/9/2025 and 2/10/2025.

4. Review of Patient # 5 MR, indicated the following:
a. Patient admitted to APH # 40 on 1/3/2025. Patient discharged on 1/10/2025.
b. MR lacked documentation in daily flowsheets and/or daily notes for hygiene care/bathing, offered or completed or refused, for the following days: 1/4/2025, 1/5/2025, 1/8/2025 and 1/9/2025.

5. Review of Patient # 6 MR, indicated the following:
a. Patient admitted to APH # 40 on 12/21/2024. Patient discharged on 12/27/2024.
b. MR lacked documentation in daily flowsheets and/or daily notes for hygiene care/bathing, offered or completed or refused, for the following days: 12/22/2024, 12/23/2024 and 12/24/2024.

6. In interview on 2/11/2025 at approximately 4:08 pm, and at approximately 5:28 pm, with A # 2 (Quality), confirmed/verified the following:
a. That hygiene documentation is to be charted on flowsheet in MR; for daily completed, or chart if patient refused.
b. That the above noted MRs (Patients # 2, # 4, # 5 & # 6) lacked hygiene documentation.

7. In interview on 2/11/2025 at approximately 5:27 pm, with A # 1 (Chief Executive Officer), confirmed/verified that the above noted MRs (Patients # 2, # 4, # 5 & # 6) lacked daily hygiene documentation.