Failure to Provide Appropriate Activities for Visually Impaired Resident
Penalty
Summary
The facility failed to provide an ongoing program of activities that met the needs and interests of a resident, identified as Resident #58, who was part of a sample of 59 residents. The resident had been diagnosed with conditions including visual impairment and required large print materials for reading. Despite this, the facility provided the resident with a regular print sudoku puzzle book and a coloring book, which the resident could not use due to her visual limitations. This led to the resident expressing frustration and stating that she could not see the contents of the books. Observations revealed that the resident was often left without appropriate activities. On multiple occasions, the resident was seen either standing at her door or sitting on her bed without any suitable activities being provided. The Activity Director acknowledged that the materials given to the resident did not meet her needs, as they were not compatible with her physical and mental capabilities. The facility's assessment indicated that care should be based on evidence-based, data-driven methods considering the resident's conditions and needs, which was not adhered to in this case.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth on the statement of deficiencies. This plan of correction is prepared and/or executed solely because it is required. (a) Immediate action(s) taken for the resident(s) found to have been affected include: Resident #58 was assessed for activity preferences. Preferences were added to the care plan. (b) Identification of other residents having the potential to be affected was accomplished by: All Residents with visual have the potential to be affected. 100% audit of all MDS assessments to identify residents with visually. (c) Actions taken/systems put into place to reduce the risk of future occurrence include: The Administrator provided education to Activity Director and Activity Staff starting on regarding resident activity preferences and ensuring activities are compatible with the Residents physical and mental capabilities. Activity Director and Activity Staff will be in-service by The Activity Director and Activity Staff not in serviced by this date will be in serviced prior to their next scheduled shift. We have no Agency staff currently. All newly hired Activity Director and Activity Staff will be in-service by the ADON during their orientation. The Activity Director will complete Activity Preference assessment on all visually residents. (d) How the corrective action(s) will be monitored to ensure the practice will not reoccur: The Administrator or designee will interview at least 5 residents weekly for 4 weeks for activity preferences offered as desired, then interview 10 residents monthly for the 3 months. Audit results will be reviewed by the Risk Management/Quality Assurance Committee until such time consistent substantial compliance has been achieved as determined by the committee. (e) The compliance date is.