Failure to Provide Individualized Activity Programs for Residents
Penalty
Summary
The facility failed to provide an activity program that met the individual needs of three out of four residents reviewed for activities. For one resident with a history of stroke and vascular dementia, the care plan specified a need for encouragement and support to participate in activities such as listening to music, being around animals, group activities, going outside, and religious events. However, observations showed the resident was consistently alone in their room with only music playing on the TV, and there was no evidence of participation in group or one-to-one activities. Staff interviews revealed a lack of awareness of the resident's care plan and no implementation of a one-to-one activity program, despite the resident's inability to participate in group activities without becoming disruptive. Another resident, who was severely cognitively impaired and had delusions, had a care plan indicating they would accept room social visits at least once per week and attend at least one group activity weekly. Multiple observations over several days found the resident in bed, with no evidence of participation in activities or receipt of one-to-one visits. Staff interviews confirmed that the resident was not receiving any one-to-one visits, and the activities director was not familiar with the resident. A third resident with a traumatic brain injury and speech deficits had a care plan goal to attend at least four group activities per week and show satisfaction with activity opportunities. Observations found this resident alone in their room, expressing boredom, while group activities were occurring elsewhere in the facility. The activities director reported not participating in resident care planning, and activity preferences were not assessed at admission. Documentation of resident participation in activities was limited to one-to-one interactions, which were not occurring for this resident.