Health inspection·August 5, 2025

F 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to provide necessary care and services for six out of 13 sampled residents (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, and Resident 6), when showers were not given as scheduled.This failure decreased the facility's potential to protect residents' rights, maintain well-being, and prevent skin breakdown. Findings:A review of Resident 1's admission Record, indicated Resident 1 was admitted to the facility in October 2024 with a diagnosis of malignant neoplasm of lower lobe (cancer in the lower section of a lung).A review of Resident 1's Minimum Data Set (MDS, a federally mandated assessment tool), dated 7/14/25, indicated Resident 1's Brief Interview for Mental Status (BIMS, an assessment tool used by facilities to screen and identify memory, orientation, and judgement status of the resident) score was 15 out of 15 with good memory.During an interview on 8/5/25 at 12:52 p.m. with Resident 1, Resident 1 stated he was scheduled for a shower on Saturday (8/2/25) and he did not have a shower due to unavailability of hot water in the facility. Resident 1 further stated he was upset when he did not have his shower on Saturday because he liked taking showers every day and his showers were already limited to two days a week.A review of the facility's shower schedules indicated Resident 1 was scheduled for shower on Wednesdays and Saturdays.A review of Resident 2's admission Record, indicated Resident 2 was admitted to the facility in August 2024 with a diagnosis of generalized muscle weakness.A review of Resident 2's MDS, dated [DATE], indicated Resident 2's BIMS score was 12 out of 15 with mild memory impairment.During an interview on 8/5/25 at 1:38 p.m. with Resident 2, Resident 2 stated her last shower was on Wednesday (7/30/25) and she was supposed to have another shower on Saturday (8/2/25). Resident 2 stated she did not have shower on Saturday because there was no hot water. Resident 2 further stated missing her scheduled shower made her feel dirty and uncomfortable.A review of Resident 3's admission Record, indicated Resident 3 was admitted to the facility in January 2025 with a diagnosis of skin transplant status (when tissue is transplanted, diseased or missing tissue is replaced by healthy tissue).A review of Resident 3's MDS, dated [DATE], indicated Resident 3's BIMS score was 14 out of 15 with good memory.During an interview on 8/5/25 at 2:43 p.m. with Resident 3, Resident 3 stated her shower schedule was Tuesdays and Fridays and her last shower was last Tuesday (7/29/25). Resident 3 also stated she did not have her scheduled shower and was not offered a bed bath because there was no hot water available. Resident 3 further stated she felt bothered not being able to shower.During a concurrent interview and record review on 8/5/25 at 3:04 p.m. with Licensed Nurse 1 (LN 1), Resident 2 and Resident 3's shower schedules, shower sheets, and medical records were reviewed. LN 1 confirmed Resident 2's shower schedule was on Wednesdays and Saturdays and Resident 3's shower schedule was on Tuesdays and Fridays. LN 1 stated Resident 2 and Resident 3's shower sheets indicated Resident 2's last shower was on 7/30/25 and Resident 3's last shower was on 7/29/25. LN 1 further stated there was no documentation in the medical records indicating if Resident 2 and Resident 3 refused their Residents Affected - Some Page 1 of 2 055776 055776 08/05/2025 Westview Healthcare Center 12225 Shale Ridge Lane Auburn, CA 95602

F 0676 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some showers or were offered bed baths.A review of Resident 4's admission Record, indicated Resident 4 was admitted to the facility in September 2024 with a diagnosis of hemiparesis (weakness or paralysis on one side of the body) affecting right dominant side.A review of Resident 4's MDS, dated [DATE], indicated Resident 4's BIMS score was 12 out of 15 with mild memory impairment.During an interview on 8/5/25 at 4:15 p.m. with Resident 4, Resident 4 stated he did not like having no shower for a week. Resident 4 further stated he did not have a shower or a bed bath on Saturday (8/2/25) because there was no water in the facility.During a concurrent interview and record review on 8/5/25 at 4:21 p.m. with LN 1, Resident 4's shower schedule and medical record were reviewed. LN 1 confirmed Resident 4's shower schedule was on Wednesdays and Saturdays and Resident 4's last shower was on 7/30/25. LN 1 stated the residents who were scheduled for showers last weekend missed their showers because the facility was having a water issue. LN 1 further stated staff did not attempt to reschedule the showers.A review of Resident 5's admission Record, indicated Resident 5 was admitted to the facility in December 2021.A review of Resident 5's MDS, dated [DATE], indicated Resident 5's BIMS score was 15 out of 15 with good memory.During an interview on 8/5/25 at 4:55 p.m. with Resident 5, Resident 5 stated her shower schedule was on Wednesdays and Saturdays and she did not have a shower on Saturday (8/2/25) because there was no water in the facility.A review of Resident 6's admission Record, indicated Resident 6 was admitted to the facility in September 2018.A review of Resident 6's MDS, dated [DATE], indicated Resident 6's BIMS score was 15 out of 15 with good memory.During an interview on 8/5/25 at 4:58 p.m. with Resident 6, Resident 6 stated she was supposed to have a shower on Saturday (8/2/25) and waited in the shower room for the water temperature to get hot but it never did. Resident 6 further stated she felt mad for not being able to take a shower.A review of the facility's shower schedules indicated Resident 5 was scheduled for shower on Wednesdays and Saturdays and Resident 6 was scheduled for shower on Tuesdays and Fridays.During a concurrent interview and record review on 8/5/25 at 5:50 p.m. with the Director of Nursing (DON), Resident 1, Resident 5, and Resident 6's shower sheets and medical records were reviewed. DON confirmed Resident 1's last shower was on 7/30/25, Resident 5's last shower was on 7/26/25, and Resident 6's shower sheet dated 8/1/25 indicated shower was not given due to no hot water. DON also confirmed there was no documentation in the medical records indicating if Resident 1 and Resident 5 refused their showers or were offered bed baths.During an interview on 8/5/25 at 5:55 p.m. with DON, DON stated residents were scheduled for showers two times a week. DON expected nursing staff to offer an alternative to shower if the residents did not receive the shower and if the residents continued to refuse, then their refusal should be documented on the shower sheet and medical record. DON further stated taking showers was part of protecting both residents' dignity and rights and there was a potential for skin breakdown if residents were not given showers.A review of the facility's policy titled, Shower, revised 5/30/18, indicated, The purposes of this procedure are to promote . and facilitate resident choice regarding shower and bathing to ensure cleanliness, provide comfort to the resident . The policy further indicated, Staff will honor shower and/or bathing preferences such as; frequency of shower schedule . 055776 Page 2 of 2