In my area they not only remove the shoes but the underware too after the no bath for 2 years...when they are and the support person also has the shoes off. I always say soap is cheap...We had one lady that used to come in twice a week, when she came in to have her baby a co-worker told her she had to take a shower first as it would make her veins stand out better to start the IV....she didn't use the soap so then she was dirty and wet...like a dog in the rain smell.