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Based on medical record review and staff interview, the facility failed to ensure that three (3) of three (3) patients (on the Geriatric Psychiatric Unit) were routinely provided needed assistance with bathing and grooming. Affected patients were #1, #2, and #4.

Findings include:

Medical record review revealed the following information:
Patient #1 was admitted to the unit on 02/10/2010 with a diagnosis of Dementia Alzheimer's type. The admission nursing assessment on 02/10/2010 revealed that the patient required assistance with bathing and grooming. There was no documented evidence that bathing and grooming assistance was provided. The patient was discharged on 02/23/2010.

Patient #2 was admitted to the unit from a nursing home on 02/3/2010 with a diagnosis of Major Depression with Psychotic features. The admission nursing assessment revealed that the patient required assistance with bathing and grooming. There was no documented evidence that bathing and grooming assistance was routinely provided. The patient was discharged on 02/13/2010

Patient #4 was observed sitting in a geriatric recliner with his/her feet elevated on 05/20/2010 at 2:20 p.m. The admission nursing assessment dated 05/10/2010 revealed: The patient's problems included intermittent confusion, anxiety, and altered gait or balance. The patient required assistance with bathing and grooming. There was no documented evidence that routine assistance with bathing and grooming was provided.

These findings were discussed during an interview on 02/20/2010 from 2:45 p.m. to 2:55 p.m. with the Registered Nurse Unit Manager and Director of Risk and Quality. At that time they indicated agreement with all findings.