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F0656
E

Failure to Develop Individualized Activity Care Plans

Colusa, California Survey Completed on 04-04-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to develop personalized activity care plans for four residents, which could potentially lead to unmet activity interests and negatively impact their psychosocial well-being and rehabilitation goals. The facility's policy requires an ongoing program of meaningful activities tailored to each resident's needs and interests, integrated into their overall care plan. However, the care plans for Residents 4, 5, 59, and 110 did not include individualized descriptions of their activity interests, despite their various medical conditions such as cellulitis, a broken shoulder, heart failure, and kidney disease. The deficiency was attributed to the use of two separate computer systems for documenting activity preferences and care planning. The Activities Director conducted weekly assessments of residents' activity preferences but documented this information in a different system, not on the residents' actual care plans. The Director of Nursing confirmed that this practice resulted in the lack of individualized activity interest care plans for the affected residents.

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