Failure to Develop Resident-Centered Activity Care Plan
Penalty
Summary
The facility failed to develop a resident-centered care plan for a resident with severe cognitive impairment and a diagnosis of dementia. The resident's Minimum Data Set (MDS) and activity assessments indicated preferences for reading, music, animals, fresh air, and specific types of books, such as murder mystery and suspense. Despite these documented preferences, the care plan and Kardex lacked specific interventions or directions for staff to provide or facilitate these activities. Observations over several days showed the resident in bed without access to reading materials, music, or other preferred activities, and staff interviews revealed they were unaware of the resident's specific interests beyond a general preference to stay in bed. Activity participation records showed the resident did not attend group activities like Bingo and primarily engaged with reading materials when available, but there was no consistent provision of preferred books or other leisure activities. Staff responsible for activities and direct care confirmed that the care plan and Kardex did not include individualized activity preferences or instructions, and the resident was not regularly offered opportunities for meaningful engagement as indicated by their documented interests and needs.