Failure to Provide Adequate Resident Activities
Penalty
Summary
The facility failed to provide an ongoing program of activities to meet the interests and support the physical, mental, and psychosocial well-being of eight out of ten residents. This deficiency was identified through a review of facility policies, clinical records, and staff interviews. The residents reported a significant reduction in activities following the resignation of the activity director and another staff member, leaving only one part-time activity aide to manage the program. Several residents, including those with diagnoses such as anxiety, depression, dementia, coronary artery disease, and schizoaffective disorder, expressed dissatisfaction with the lack of activities. Their preferences, as documented in their care plans, included reading, music, group activities, and going outside. However, the facility's records showed minimal participation in group activities, with some residents not participating at all during the review period. Interviews with residents revealed a consistent theme of reduced activities and a lack of updated activity calendars. The facility was unable to provide requested documentation, including activity calendars for several months and the personnel file of the activity staff. The Nursing Home Administrator confirmed the facility's failure to meet the residents' activity needs, as required by regulations.
Plan Of Correction
Resident R5, R11, R26, R35, R41, R45, R52, and R55 were interviewed by Activities Staff to determine activity preferences. Structured activities were placed on the Activity Calendar and led by Activities Staff. Attendance and participation were documented and maintained in the Activities Office, to be filed with the resident's medical record by the 5th day of the following month. The facility has determined that all residents have the potential to be affected. The Activity Director reviewed activity attendance and participation records of residents for trends regarding activities. Follow-up interviews were conducted on 5 residents and completed to see if we are meeting their activity needs. The Activities Director provided education to Activities and Nursing Staff on their roles and responsibilities regarding activities. Attendance and participation in activities will be documented and maintained in the Activities Office during the current month and filed in each resident's medical record by the 5th day of the following month. The Activities Director will review activity attendance and participation records monthly for trends regarding activities. Activities Staff will interview five residents weekly to determine activity preferences and to guide activity planning for 3 months. Findings will be discussed with the Resident Council and at the monthly Quality Assurance meeting until such a time consistent satisfaction is reported by the Resident Council.