Inadequate Activity Program for Residents
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to meet the needs, interests, preferences, and functional abilities of its residents, particularly affecting four residents out of a sample of 18. The deficiency was identified through clinical record reviews, resident council meeting minutes, and interviews with residents and staff. The facility's activity program was criticized for lacking variety and engagement, with specific concerns about the use of 'bingo bucks' for prizes, which were often used items. Additionally, the facility did not have a dedicated budget for activities, and the Activity Director, who started in August 2024, confirmed that there were no specific activities for younger residents or those with mental health needs. The report highlighted that the activity preferences for some residents had not been reviewed for over a year, indicating a lack of personalized care planning. The facility's activity calendars for the months leading up to the survey showed a lack of variety and programming for younger residents, despite a significant portion of the resident population being under 60 and having mental health diagnoses. Interviews with residents revealed dissatisfaction with the current activities, describing them as boring and not aligned with their interests or preferences. The facility's failure to develop and implement a comprehensive activity program that addresses the diverse needs of its residents, including those with higher cognitive functioning and younger residents, was a significant factor in the deficiency.
Plan Of Correction
1. R-18, R-16 & R-19 will be interviewed by Activity Director to identify their interest in activity programs and bingo prizes. 2. Activity department will discuss activity planning during resident council meetings to engage feedback from residents on the activities they do or do not like. 3. Activity Director has been reeducated on planning activities to meet the needs, interests, preferences and functional abilities of the current resident population. 4. NHA/designee will meet monthly with residents to ensure their activity preferences are being addressed and planned as able into the activity calendars. A summary of each meeting will be submitted to the QA Committee monthly.