My 90 year old Mom is ambulatory with a walker and in the past has had pretty good hygiene with bathing from a sink. She has been a resident at the AL for 3 years and has never showered. She has medium dementia and very poor memory.
Lately however, she is getting quite smelly. To me this indicates she is not able to bath sufficiently herself. The aides are willing and have offered to help her shower, but she refuses. They have a nice walking shower at the facility with a chair.
She says she will only take a bath (thinking from years past when getting in and out was not an issue.)