Care Plans Omitted Documented Sensory and One-on-One Activities
Penalty
Summary
The facility failed to ensure that the care plans for two residents accurately reflected the sensory and one-on-one activities they were receiving. For one resident, activity participation records showed that the individual had received one-on-one activities six times and sensory activities twelve times over a 30-day period. However, a review of the resident's care plan revealed that neither one-on-one nor sensory activities were included as interventions, despite the resident's dependence on staff for activities, cognitive stimulation, or social interaction due to cardiac disease. The Activities Director confirmed that these activities were being provided but were omitted from the care plan. Similarly, another resident's care plan did not include one-on-one activities, even though activity preference records indicated a preference for weekly one-on-one sessions. The care plan listed general interventions such as assisting with transport, ensuring compatibility of activities, and providing materials of interest, but did not specifically address the one-on-one activities being provided. Both the Administrator and Activities Director confirmed that residents receiving one-on-one activities should have these interventions documented in their care plans.