Failure to Provide Sufficient and Varied Resident Activities
Penalty
Summary
The facility failed to provide a variety of activities that met the needs and preferences of its residents, as evidenced by observations, record reviews, and interviews. Multiple residents, all of whom were cognitively intact and had clearly documented preferences for specific activities such as reading, music, group events, and outdoor time, reported not being offered or informed about activities that matched their interests. Activity calendars reviewed showed only two activities scheduled per day on weekdays, with one activity on weekends, and a lack of evening activities. Some residents did not receive activity calendars or personal invitations to participate, and there was no evidence of activity staff engaging with residents in their rooms to encourage participation or inform them of available options. Interviews with residents revealed dissatisfaction with the activity offerings, with several stating they did not attend activities due to lack of interest or awareness, and some expressing that the activities provided did not align with their preferences. One resident reported enjoying outdoor and music activities but noted these were not available, especially in the evenings. Another resident and their family member confirmed not receiving an activity calendar or information about ongoing activities. Observations further supported these findings, with activity rooms often empty or sparsely attended, and activity staff only bringing in a small number of residents for scheduled events. The facility's own policy required that activities be scheduled seven days a week, including evenings and weekends, and be tailored to residents' individual needs, preferences, and cultural interests. However, the actual practice did not align with this policy, as the activity program was limited in scope and frequency, and did not reflect the diverse interests or schedules of the residents. The activities director confirmed the limited number of activities and acknowledged a decrease in participation since COVID, but there was no evidence of efforts to adapt the program to better meet resident needs.