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F0679
E

Failure to Provide Resident-Centered Activities Program

Bryn Mawr, Pennsylvania Survey Completed on 04-10-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide an ongoing, resident-centered activities program that met the interests and physical, mental, and psychosocial well-being of residents on both nursing units. Despite having a policy and job description outlining the need for comprehensive, individualized, and diverse activities, observations and interviews revealed that scheduled activities were either not conducted as planned or were limited in variety and engagement. The activities calendar showed repetitive offerings such as daily greetings, room visits, and bingo, with little evidence of adaptation to resident preferences or abilities. Observations of scheduled activities, such as Taco Tuesday and fitness sessions, showed minimal resident engagement, with some activities not occurring as scheduled or being limited to passive participation like watching staff prepare food or sitting at tables without active involvement. Multiple residents reported that they were not included in activity planning, were not offered activities of interest, and that the activities listed on the calendar were not actually provided. Several residents stated that no one from the activities department had visited their rooms to discuss or offer activities, and that the only activity regularly offered was bingo, which was not of interest to all. Some residents expressed a desire for more meaningful engagement and noted that they had never been taken outside the facility for activities or allowed outside, contrary to what was indicated in the facility's policy. Staff interviews confirmed inconsistencies in the delivery of activities, with some staff unable to describe or recall the activities scheduled or conducted. Observations further revealed that activities such as room visits were sometimes limited to offering snacks for purchase rather than providing meaningful engagement. The Life Enrichment Director and assistants demonstrated a lack of awareness regarding resident preferences and the actual implementation of the activities program, resulting in unmet needs for resident engagement and well-being.

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