Failure to Provide Individualized Activities per Care Plan
Penalty
Summary
The facility failed to provide individualized therapeutic and/or social activities according to the plan of care for one of seven reviewed residents. The resident, who had a history of adult failure to thrive and dementia, was observed multiple times over several days resting in bed, nonverbal, and staring blankly at the ceiling. Record reviews showed that the resident's care plan required one-on-one room visit activities three times per week to reduce behavioral and psychological symptoms of dementia. However, documentation revealed that these activities were not consistently provided, with several weeks showing only one or two activities, and some periods with no activities at all. Interviews with the Activities Director and the DON confirmed that the resident was not receiving the planned frequency of activities, particularly when the Activities Director was unavailable. The Activities Director acknowledged the lapse in activity provision and noted the resident's previous enjoyment of music and other activities. The DON stated that dependent residents should have regular activity visits per their care plan. Facility policy required regular review of activity participation records, but this was not followed, resulting in the resident not receiving activities as planned.