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Tag No.: A0386
Based on a review of the clinical record and an interview with staff, the director of the nursing service failed to be responsible for the operation of the service, as facility expectations regarding patient hygiene were not followed.
Findings were:
A review of the clinical record for patient #1 revealed that patient #1 was admitted on 9-16-21 and discharged on 10-13-21. Baths were noted on the following dates:
* 9-18-21
* 9-21-21
* 9-23-21
* 9-24-21
* 9-27-21
* 10-3-21
* 10-7-21
* 10-9-21
* 10-10-21
* 10-11-21
* 10-12-21
* 10-13-21
**No other baths were documented during patient #1's stay.**
In a telephone interview with staff #2 on 2-1-22, staff #2 was asked what the facility expectation was for patient bath/shower frequency. Staff #2 stated that the expectation was that patients would receive a bath/shower at least every other day and more often if they asked for one. She stated that the even-numbered rooms got baths/showers on even days (2nd, 4th, 6th, 8th etc) and that odd-numbered rooms got baths/showers on odd days (1st, 3rd, 5th, 7th etc).
The above was confirmed in an interview with the CEO and other administrative staff on 2-1-22.