Failure to Provide Individualized Activities for Resident with Dementia
Penalty
Summary
The facility failed to provide activities designed to meet the interests and well-being of a resident with dementia and cognitive impairment. The resident's care plan included goals for daily participation in activities of choice, with interventions such as encouraging engagement in general activities and providing in-room activities if preferred. However, over several days of observation, the resident was not offered any activity materials, music, television, or staff-led activities, except for a Daily Chronicle paper at the bedside. There was no documentation of activity refusals or participation in any activities for the past 30 days. Interviews with staff revealed that the resident expressed interest in watching TV but did not have access to a TV remote, and staff acknowledged that the resident was not receiving enough stimulation. The Director of Activities had not personally engaged the resident, and activity documentation was lacking. The Social Services Director indicated that interventions for loneliness or withdrawal would involve family and interdisciplinary team input, but there was no evidence of such actions for this resident. The lack of individualized activities and engagement was confirmed by multiple staff members and through record review.