Failure to Provide Ongoing Activity Program for Residents
Penalty
Summary
The facility failed to provide an ongoing activity program that met the interests and supported the physical, mental, and psychosocial well-being of two residents reviewed for activity involvement. Observations and record reviews revealed that both residents, who had cognitive impairments and care plans specifying the need for encouragement and assistance with activities, were repeatedly found in their rooms unengaged, with no activity items, music, or television available. Activity calendars listed group and individual activities, but the residents were not observed participating, and documentation showed minimal or no attendance in activity programs over a 30-day period. One resident, with diagnoses including dementia, anxiety, and adjustment disorder, expressed preferences for reading materials, music, and pet therapy, and required encouragement to participate in activities. Despite these documented needs and preferences, the resident was observed multiple times alone in her room, facing a closet with an empty tray table and no meaningful engagement. The activity records indicated she attended only two activities in the previous month, despite the care plan interventions. Another resident, with severe cognitive impairment and similar diagnoses, also had a care plan calling for staff assistance with activities, including religious services and music. This resident was observed repeatedly in her room, facing a blank wall, with no activity items and minimal interaction. Documentation confirmed that she had not participated in any activity programs in the previous 30 days. Staff interviews revealed that activity staff had limited training, struggled to reach all residents for room visits, and could not provide consistent engagement, especially when short-staffed. The Activity Director acknowledged discrepancies between reported and documented participation.