Failure to Provide Individualized Activities for Residents
Penalty
Summary
The facility failed to provide activities of interest and individualized engagement for four residents, as evidenced by observations, interviews, and record reviews. One resident with multiple sclerosis, paraplegia, and monoplegia, who was cognitively intact, expressed a desire to go outside and listen to birds but reported only being able to do so when visitors took him out. The activities director was unaware of this resident's preferences and acknowledged that activities staff had not offered or documented outdoor activities for him, despite his care plan indicating a preference for going outside and walking. Another resident with COPD, palliative care needs, and hearing loss, who was also cognitively intact, was observed alone in her room without any activity materials. She stated she did not participate in activities and only watched television, with no in-room activities provided. The activities director confirmed that staff did not leave reading materials in resident rooms and could not provide documentation of in-room activities for this resident, despite the care plan specifying the provision of such materials. A third resident with dementia, anxiety, and depression, who had recently lost her husband, expressed feelings of sadness and a desire to go outside for fresh air, but reported that no one had taken her outside. The activities director confirmed that this resident had not been provided with in-room activities or outdoor opportunities, despite her care plan and assessment indicating the importance of such activities. Additionally, a fourth resident with dementia and hearing loss, who was unable to complete a cognitive assessment, was observed alone in the dining room with only a communication board and no engagement from activities staff. The activities director acknowledged that this resident should have been provided with sensory activities and 1:1 engagement as outlined in her care plan, but this was not done or documented.