Failure to Facilitate Resident Participation in Activities
Penalty
Summary
The facility failed to provide activities according to the preferences of a resident, identified as Resident #71, who expressed a willingness to participate in activities if invited. During an observation and interview, the resident mentioned that they were not informed about activities and would likely attend if asked. The resident was observed in their room with a television on and was unaware of the activity calendar placed on a bulletin board in their room. Staff interviews revealed that the resident did not attend activities but went to therapy, and the activity department was supposed to visit the resident's room. The resident's care plan indicated a need for invitations, assistance, and encouragement to attend programs of interest, such as music programs, card games, and social visits. The care plan also included interventions like offering seating close to program leaders and providing 1:1 leisure visits. Despite these interventions, the resident's activity task documentation showed minimal participation in activities over the past 30 days, with only a few instances of engagement in entertainment and friendly visits. The Activity Director acknowledged the lack of documentation for the resident's participation in a recent music program and mentioned that the resident was on isolation for a period, which may have affected their ability to attend activities. The facility's policy on individual activities stated that such activities should be provided for residents who do not wish to attend group activities, making use of each resident's physical and mental abilities. However, the facility did not adequately document or facilitate the resident's participation in activities, as evidenced by the lack of recorded engagement and the resident's own statements about not being informed or invited to activities. The Director of Nursing mentioned that the facility conducts welcoming meetings and shows new residents the activity calendar, but the follow-up on these procedures appeared insufficient in this case.
Plan Of Correction
1. Resident #71 has been discharged from the facility. 2. Activities Director/Designee has completed a review of current facility residents to confirm that activities are provided per preference. Follow up based on findings. 3. Staff Development Coordinator/Designee has provided education to the Activity staff related to assisting and providing residents preferred activities. 4. Activities Director/Designee to monitor residents to verify that activities are provided per preference using a random sample of 10 residents weekly x 3 months, then quarterly as needed or until substantial compliance is achieved. Findings to be reviewed during the monthly Quality Assurance and Performance Improvement Committee Meeting. Modifications implemented as indicated.