Complaint Investigation Report, 12/06/2023 — Marbella Oroville, Oroville CA

Staff did not meet resident's showering needs. - UNSUBSTANTIATED

It was reported that a resident had not showered for four days.

LPA reviewed Resident 1’s (R1) Health Evaluation/Assessment and Service Plan with an effective date of 7/10/2023 which says that R1 requires physical assistance with showering and wants to shower 2 times per week with an additional 5 showers per week (daily). Staff are to provide physical assistance with showers per the shower schedule. The facility uses Point-Click-Care to log all ADL assistance provided to residents. R1 moved into the facility on 07/03/2023. LPA reviewed logs for the month of July 2023. Showers are logged in two places in Point-Click-Care, 6:00 am to 2:00 pm shift logged showers for R1 on all days with a few exceptions. NOC shift logs show showers completed on 07/03/23 through 07/05/23. The shower log is blank on the dates of 07/06/23 through 07/09/2023. Logging resumed on 7/10/2023 for the NOC shift. The AM shift logged showers for R1 on 07/06/2023 through 07/09/2023.

During staff interviews it was learned that there is a shower list that staff follows. Some residents are showered every day, but 2 – 3 times per week is more usual. Residents can elect to have their showers in the morning or at night. If R1 needed a second shower the NOC shift would shower them a second time. Staff interviews also revealed that the Point Click Care system was not updated with the daily shower requirement when R1 first moved in on 07/03/2023.

Expressions Director stated It depends on the resident’s care plan; they should be showered at least be 2-3 times a week unless their care plan requires more.

Executive Director stated It depends on the care plan; minimum average is twice a week standard.

It was determined that the facility did follow R1’s Health Evaluation/Assessment and Service Plan with an effective date of 7/10/2023 which requires daily showers and staff logged daily showers for R1 from 07/03/2023 through 07/09/2023. The facility needs to improve their logging of showers in the Point-Click-Care database. This allegation is unsubstantiated.