Failure to Provide Individualized Activities for Residents
Penalty
Summary
The facility failed to provide appropriate activity programming to meet the individualized needs of two residents. One resident with major depressive disorder, anxiety, contractures, and a history of stroke was assessed to require weekly 1:1 meaningful activities, such as board games, music, and animal-related activities. However, documentation showed that this resident did not receive the required weekly 1:1 activity for a period of over three weeks. The Area Life Enrichment Director confirmed the absence of documentation and that the resident did not receive the scheduled activities during that time frame. Another resident with severe cognitive impairment, toxic encephalopathy, anxiety, and repeated falls was identified as being at risk for limited activity engagement. The care plan noted interests in sports and social interaction, and the resident expressed a desire for more social and sports-related activities. Despite this, activity logs indicated minimal participation in group activities, and the assessment inaccurately reflected the resident's engagement level. Staff interviews confirmed that the resident often required 1:1 attention, which was not properly documented or provided according to the assessment, and that family presence was incorrectly considered as a substitute for activity participation.