Failure to Provide Individualized Activities for Resident with Blindness and Depression
Penalty
Summary
The facility failed to provide individualized one-on-one activities and engage a resident with blindness and depression in facility activities, as required by their own policy and care plan. The resident, who was dependent on staff for mobility and transfers, was observed multiple times lying in bed or sitting in a dark, silent room with no entertainment or engagement. Despite documented preferences for one-on-one activities and enjoyment of listening to conversations and sharing stories, there was no evidence that such activities were provided or documented. Staff interviews revealed a lack of awareness and implementation of individualized activities for the resident. The Activity Director admitted to not inviting the resident to group activities due to the resident's blindness and stated that in-room activities, such as reading, were supposed to be provided, but there was no documentation to support that these occurred. Nurse aides and other staff were also unaware of any one-on-one activities for the resident and did not routinely invite the resident to participate in facility activities. Observations confirmed that the resident was not invited to group activities, such as TV trivia or movie events, and was left alone in a dark room for extended periods. The resident expressed a desire to be invited to activities and confirmed that staff did not ask them to attend. The facility's failure to provide and document individualized activities for this resident, as outlined in their care plan and facility policy, led to the deficiency.