Failure to Provide Comprehensive Activities Program
Penalty
Summary
The facility failed to implement an activities program that met the needs of its residents, as evidenced by interviews, documentation review, and direct observation. Four out of six interviewed residents expressed dissatisfaction with the variety and scheduling of activities, stating they desired more diverse, creative, and challenging options, as well as increased access to outdoor activities for both smokers and non-smokers. The activity calendars for January through March showed that most activities ended by 2pm or 3pm, with limited variety and overlap between popular activities such as bingo and scheduled smoking times, preventing some residents from participating. Additionally, the calendars did not specify the locations or nursing units where activities were held, further limiting accessibility. Review of clinical records revealed inadequate documentation of resident participation in activities, with some records lacking any notes of involvement and others containing only sporadic entries over several months. During an interview, the Nursing Home Administrator confirmed the absence of sufficient documentation and acknowledged that the current activities program did not meet resident needs. These findings demonstrate a failure to provide a comprehensive activities program as required by state regulations.