Failure to Provide Adequate Resident Activities
Penalty
Summary
The facility failed to provide an ongoing program of activities that met the interests and supported the physical, mental, and psychosocial well-being of residents for the entire month of December 2024. The facility's policy, dated December 3, 2024, outlined the requirement to offer a variety of activities designed to enhance residents' well-being, promote physical and cognitive activity, and reflect residents' interests and choices. However, during an interview on December 16, 2024, the Activities Director, Employee E18, stated that group activities were not being held due to positive COVID-19 cases in the building. Residents expressed dissatisfaction during a group meeting on December 17, 2024, noting that activities often did not meet their needs, were subject to change without notice, and were frequently canceled, such as BINGO, which had been canceled for four consecutive weeks. Additionally, the activity calendar showed that activities were scheduled only until 3:00 p.m., with no evening activities except on Thursdays. The Activities Director confirmed on December 20, 2024, that the facility had not provided an ongoing program of activities to meet the residents' needs throughout December 2024.
Plan Of Correction
The activities calendar was revised to provide alternative activities when COVID is active in the building. A full-time activities staff was hired. A review will be completed of resident activity preferences to determine likes/preferences. Activity calendar will be approved by NHA or designee and reviewed before being circulated. A discussion will be held during the upcoming resident council regarding details of evening activities and the need for modifications. Education on activity programs will be provided to the Activities Director by the NHA or designee on or before 2/11/2025. Audits will be conducted on activities to ensure scheduled activities are being followed by DON or designee weekly x 4 weeks and monthly x 1 month. Audit results will be reviewed through the monthly QAPI process/meeting.