Failure to Develop and Implement Comprehensive Activity Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan that addressed a resident's activity preferences and physical abilities. Observations showed the resident spent most of her time in bed, with limited engagement in activities. The resident reported poor vision and limited hand function, which prevented her from participating in group activities, and stated that staff had not offered her in-room activities or one-on-one visits. She expressed a desire for staff to visit her in her room, as she was unable to participate in most activities due to her physical limitations. Review of the resident's care plan revealed it did not identify her specific life roles, activities of interest, or provide for one-on-one visits, despite her expressed preferences and needs. The care plan included only general interventions such as encouraging participation in activities and supplying leisure materials as needed, without customization to her abilities or preferences. Staff interviews indicated issues with documentation and care plan customization due to changes in the facility's computer system and staffing limitations. The resident's MDS assessment confirmed she required maximal assistance for mobility and self-care, further highlighting the need for individualized activity planning.