Failure to Provide Ongoing Resident-Centered Activities Program on Dementia Unit
Penalty
Summary
The facility failed to implement an ongoing, resident-centered activities program for all 13 residents residing on the secure dementia unit. Over multiple days and time periods, residents were observed walking in hallways or sitting in dining and common areas without any structured activities taking place. There was no activities schedule posted or available on the unit, and confidential interviews confirmed that no activities calendar or schedule had been posted for several months. Residents had not participated in scheduled activities for several months, and activities were only provided inconsistently and on an unscheduled basis, either by an activities assistant or by nursing staff when they were not engaged in direct care. The Executive Director acknowledged the lack of regularly scheduled activities on the secure dementia unit. A review of the facility's Admission Statement indicated that an activities program, including a planned schedule for recreational, motivational, social, and other activities, was to be provided under the daily basic rate for all residents. Despite this, the facility did not ensure that such a program was in place or consistently implemented for residents on the secure dementia unit.