Failure to Provide Individualized Activity Programs
Penalty
Summary
The facility failed to provide an ongoing activity program that met the individual interests and needs of two residents, as required by their own policy and federal regulations. Both residents had documented preferences and care plan interventions indicating the importance of activities such as music, religious services, group events, and social interaction. Despite these documented needs, observations over several days showed that both residents spent extended periods in their rooms, often in bed, with no music, television, or engagement in preferred activities. Activity calendars indicated that relevant group activities were scheduled, but the residents were not consistently offered assistance to attend or participate. One resident, with a history of major depressive disorder and moderately impaired cognitive skills, expressed a strong interest in music, religious activities, and group events. However, he reported that staff did not routinely invite him to activities or assist him in getting out of bed, and he was observed missing several activities he had identified as important. Documentation showed limited participation in activities over a period of weeks, with only a few conversation visits and minimal engagement in group or preferred activities. The second resident, who was on hospice and had severe cognitive impairment, primarily spoke Polish and required assistance and cues to participate in activities. Her care plan noted a preference for music and religious activities, but she was observed alone in her room with the television off during scheduled activities. Activity logs indicated infrequent and brief one-on-one visits, and no group activity participation was documented in the previous month. Staff interviews confirmed language barriers and limited engagement, despite the resident's expressed preferences for certain activities.