Failure to Provide Person-Centered Activities Program
Penalty
Summary
The facility failed to provide an ongoing, person-centered activities program for a resident with a diagnosis of depression who was admitted in November 2023. According to the resident's care plan and MDS, the resident enjoyed activities such as dancing, music, television (especially sports), reading, spiritual activities, word finds, crossword puzzles, gardening, and going outside for fresh air. Despite these documented preferences, activity task records showed that the resident did not participate in any in-room or out-of-room activities, nor did they receive one-to-one visits during the review period. Observations confirmed that the resident spent most of their time in bed, with no visible books, magazines, newspapers, plants, or flowers in the room, and the shared television was controlled by the roommate, limiting access to preferred programming. Interviews with staff revealed a lack of awareness and follow-through regarding the resident's activity preferences. Staff members were unsure about the resident's interests, had not recently provided books or music, and had not facilitated opportunities for the resident to go outside or receive religious visits, despite these being important to the resident. The activity director acknowledged not providing individualized activities or one-to-one visits and had not offered religious visits since shortly after admission. The director of nursing stated an expectation for individualized activity programming, but this was not reflected in the care provided.