Failure to Provide Activities Program Meeting Resident Needs
Penalty
Summary
The facility failed to provide a program of activities that met the needs and interests of a resident with highly impaired vision. Multiple observations over several days showed the resident lying in bed, often in a dark room, with no television or radio on and no other forms of stimulation. The resident was observed talking to herself and holding a cup, with no evidence of engagement in activities. The resident's care plan included specific interventions such as offering room visits for socialization, reading the daily chronicle, providing music, and using adaptive techniques to enable participation in activities. However, these interventions were not consistently implemented. A review of the resident's activity participation records over several months revealed minimal participation in group activities and a lack of regular one-to-one visits or assistance with adaptive activities as outlined in the care plan. The Activity Director confirmed that the resident was not on a one-to-one visit schedule and acknowledged a decline in the resident's participation, which had gone unnoticed. The resident's Minimum Data Set indicated that participation in activities and social engagement were very important to her, yet these preferences were not being met.