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F0679
D

Failure to Provide Individualized Activities and Activity Planning

Jackson, Michigan Survey Completed on 06-04-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide meaningful, individualized activities for one resident with multiple complex medical conditions, including Lewy Body Dementia, depression, and schizoaffective disorder. The resident was observed multiple times sitting alone in her room and expressed feeling bored. She reported not being aware of any activity calendar or being invited to participate in facility activities. No activity calendar was observed in her room during initial observations, and her medical record did not include a care plan outlining her activity preferences or interests. The Life Enrichment Assessment indicated a need to address functional status in the care plan, but this was not reflected in her records. Documentation of the resident's activity participation over the past 30 days showed only solitary activities, such as conversation/reminiscing, with several instances occurring without staff involvement. There was no evidence of group activities being offered. Interviews with facility staff confirmed that it was expected for all residents to receive an activity calendar and have their activity preferences included in their care plan, but this was not done for this resident. The deficiency was identified through observations, interviews, and record reviews, which demonstrated a lack of individualized activity programming and failure to follow facility expectations for activity provision and documentation.

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