Failure to Individualize and Document Resident Activity Programs
Penalty
Summary
The facility failed to identify and address the personal activity preferences of all residents reviewed for activities, resulting in a lack of individualized activity care planning and coordination. For five residents, care plans either did not reflect their current interests or lacked evidence of implementation of interventions targeting their stated preferences. Documentation was inconsistent or missing, with activity attendance records not found in the electronic medical record and only handwritten records available upon request. In several cases, residents' care plans listed interests such as crafts, cards/games, and reading, but there was no documentation of participation in these activities, nor evidence that staff facilitated or supported these interests. Residents interviewed expressed dissatisfaction with the activity program, noting a lack of variety, insufficient weekend and evening activities, and limited options beyond watching TV or playing Bingo. Some residents specifically requested additional activities such as exercise or newspaper readings, which were not reflected in the activity calendar or care plans. The activity calendars reviewed lacked scheduled weekend activities, with only 'Independent Leisure' noted, and did not include certain activities that residents had expressed interest in, such as crafts or outings. The activities director confirmed that some activities listed on the calendar, such as virtual reality sessions, were no longer being offered despite being advertised, and that documentation of one-to-one visits and activity participation was not consistently entered into the electronic medical record. For one resident, there was no activity plan of care created at all, despite documented interests in painting, music, and outings. Staff interviews revealed that activity calendars were often copied from previous months with little variety, and that some activities were not communicated to residents in advance or included on the calendar. The facility did not have a policy for activity program development and implementation available for review. These findings demonstrate a systemic failure to assess, plan, and document activities in accordance with residents' individual needs and preferences.