Failure to Provide Individualized Activity Program for Resident with Cognitive Impairment
Penalty
Summary
The facility failed to provide an ongoing program of activities designed to meet the interests and the physical, mental, and psychosocial well-being of a resident with severe cognitive impairment. Observations over multiple days showed the resident sitting in a hallway, often staring at a wall, with no meaningful activities offered. Documentation from January to May indicated the resident primarily napped or roamed the halls, with minimal participation in activities such as family visits, animal therapy, or group events. The resident's care plan specified the need for therapeutic recreation, including weekly one-on-one visits, group activities, and the provision of comfort items like baby dolls, but these interventions were not consistently implemented. Interviews with staff revealed that the resident was unable to structure her own leisure time and required staff support to attend activities. Staff acknowledged that activity documentation lacked details on duration, participation level, and enjoyment, and that alternative activities were not offered if the resident was napping during scheduled events. The activity director confirmed that the resident enjoyed sensory activities, music, and outdoor time, but required assistance to access these opportunities. Despite these identified needs and preferences, the facility did not ensure an ongoing, individualized activity program for the resident.