Failure to Provide Consistent, Scheduled Activities for Residents
Penalty
Summary
The facility failed to provide an ongoing program of activities in accordance with the comprehensive assessment to meet the interests and the physical, mental, and psychosocial well-being of two residents. Both residents had documented needs for socialization and activity participation, with care plans and physician orders specifying activities as tolerated. However, records showed a lack of consistent, scheduled activities, and daily participation forms had not been updated for either resident since February, despite their previous engagement in most activities except aromatherapy and manicures. Observations and interviews revealed that both residents expressed dissatisfaction with the lack of variety and frequency of activities, noting a decline in available options since the previous Activity Director left. One resident reported that the only activity offered was bingo, and both described feeling bored and lacking stimulation. Scheduled activities on the facility's calendar were not consistently carried out, with documented instances where activities were canceled or not started on time, and residents were left without engagement during scheduled activity periods. Staff interviews confirmed the inconsistency in the activity program. The Activity Director, who also held restorative aide and van driver duties, acknowledged that her additional responsibilities interfered with her ability to provide scheduled activities. Other staff members, including a CNA and LVN, noted the limited activities and recognized the potential impact on residents' mental and physical well-being. The DON and Administrator were aware of the dual roles held by the Activity Director and the resulting challenges in maintaining the activity schedule.