Failure to Provide Resident-Preferred Activities
Penalty
Summary
The facility failed to provide activities that met the preferences and interests of one resident, who expressed a desire to participate in drawing, coloring, and writing activities. Despite documentation in the resident's initial activity review indicating a preference for writing, and multiple verbal requests for more drawing, coloring, and writing opportunities, these interests were not reflected in the resident's care plan. The care plan only noted that the resident enjoyed watching television independently, omitting any mention of his stated interests in creative activities. Interviews with facility staff, including an LVN and the Activities Director, confirmed that the resident's care plan was not updated to reflect his preferences, and there were no progress notes documenting participation in or refusal of independent activities such as drawing or coloring. The Activities Director acknowledged responsibility for ensuring that activities matched resident interests and for updating care plans and activity notes accordingly. Additionally, the Activities Director did not add painting or coloring activities to the activity calendar in response to resident council requests, instead opting for a general "Residents Choice" day, which required residents to specifically request materials for their preferred activities. Facility documentation, including resident council minutes and activity calendars, showed repeated requests for more painting and coloring activities, but these were not consistently incorporated into the monthly activity schedules. Facility policies and job descriptions emphasized the importance of providing resident-specific activities based on comprehensive assessments and care plans, as well as supporting resident self-determination and participation. However, these policies were not followed in the case of this resident, resulting in a lack of meaningful activity options aligned with his interests.