Failure to Provide Scheduled Therapeutic Activities on Secured Unit
Penalty
Summary
The facility failed to provide scheduled therapeutic activities to residents on the secured unit, as observed and confirmed by staff interviews and record reviews. On the day in question, multiple scheduled activities listed on the activity calendar were not conducted, including morning and evening events. Certified Nursing Assistants (CNAs) working on the unit confirmed that no activities had taken place that morning or evening, and this was described as a frequent occurrence. The Activity Director stated that when outings occurred, the entire activity team would leave the facility, leaving only self-initiated activities available for residents. Additionally, activities scheduled after 5:00 P.M. were not being held due to staff vacancies and lack of awareness among new aides regarding their responsibilities. For one resident with diagnoses including bipolar disorder, schizoaffective disorder, and anxiety, the care plan indicated a preference for one-to-one activities and independent pursuits. However, documentation showed that one-to-one activities were rarely provided, and the resident reported that activity staff only delivered reading materials without engaging in actual one-to-one interaction. The Activity Director confirmed that there was no documentation of one-to-one activities being provided to this resident, despite the care plan interventions requiring such engagement. Another resident with multiple chronic conditions, including dementia and depression, was also affected by the lack of routine therapeutic activities for socialization. This resident reported feeling isolated and stated that no one had invited her to participate in activities, and observations confirmed that no activities were being held on the unit at the scheduled times. Staff interviews corroborated that scheduled activities were often not implemented on the secured unit, and the Activity Director acknowledged that activities were not being provided as scheduled, particularly after outings or during evening hours.