Failure to Provide Resident-Centered Activities Based on Preferences
Penalty
Summary
The facility failed to provide resident-centered activities that incorporated the preferences, goals, or interventions for a resident who was severely cognitively impaired. The resident's electronic health record did not contain a care plan addressing activity preferences, and repeated observations over several days showed the resident lying in bed, either sleeping or awake, with no evidence of engagement in activities. Interviews with staff revealed that although the resident enjoyed singing, morning exercises, and watching TV, there was no care plan in place to support these interests. Staff also noted that the resident did not participate in group activities and spent most of her time in bed, with participation limited by lack of encouragement or assistance to get out of bed. The resident herself expressed a desire to participate in activities but indicated she did not do so regularly.