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351 SETON PARKWAY

ROUND ROCK, TX null

PATIENT RIGHTS: CARE IN SAFE SETTING

Tag No.: A0144

Based on review of medical records and staff interview, the facility failed to provide an emotionally safe environment when 11 of 11 patients reviewed had no consistent documentation of showers or baths provided during their inpatient stay.

Findings included:

Review of the medical record for patient #1 revealed the following shower documentation:
3/14/19 at 4:41 pm - "shower performed"
3/15/19 - "not performed"
3/18/19 at 3:12 pm - "refused"
Patient #1 was inpatient for seven days (3/13-21/19) with only one shower documented and one shower refused.

Staff rounding sheets indicated when current patients (patients #2-11) last received a shower. Although staff were aware of when current patients had last received a bath or shower, it was not documented in the medical record.

In an interview with staff #1 on the afternoon of 11/19/19, they verified 11 of 11 medical records reviewed revealed staff were not consistently charting if patients were offered a shower or bath throughout their stay. They stated, "Yes, I knew this was an issue because we had a few complaints about showers from patients. Of course, we immediately gave those patients showers, but we talked with the staff and they ensure each patient gets a shower every other day ... I don't think that gets into the documentation."