Failure to Provide Resident-Centered Activities in Memory Support Unit
Penalty
Summary
The facility failed to provide activities that met the interests and psychosocial needs of a resident with a history of dementia, mood disturbance, anxiety, and trauma. The resident, who had moderate cognitive impairment and was dependent on staff for emotional, intellectual, physical, and social needs, expressed dissatisfaction with the activities offered, describing them as boring and not aligned with her interests. She specifically stated a preference for crossword puzzles and music, and repeatedly requested access to a piano, reflecting her background as a former piano teacher. Despite these expressed preferences, the resident was observed participating in activities she found unengaging, such as watching TV and folding washcloths, and was often seen asleep in common areas. Staff interviews confirmed that the resident previously enjoyed playing the piano when she was in the general population, but a recent corporate policy change restricted residents in the memory support unit from leaving the unit, preventing her from accessing the piano located outside the locked area. Staff acknowledged the resident's interest in the piano but stated they were not permitted to escort her outside the unit. The resident's daughter also confirmed that her mother frequently requested to play the piano during visits. These actions and inactions resulted in the facility not providing activities tailored to the resident's interests, thereby failing to promote her psychosocial well-being.