Failure to Provide Individualized Activities for Resident with Complex Needs
Penalty
Summary
The facility failed to provide regular, individualized activities to a resident with significant physical and cognitive impairments. The resident, a male with multiple diagnoses including contractures, muscle weakness, scoliosis, reduced mobility, encephalopathy, profound intellectual disabilities, epilepsy, cerebral palsy, and hemiplegia, was observed multiple times over the course of a day lying in bed, nonverbal, and without any form of engagement or stimulation. The care plan indicated a need for in-room activities as needed and required, but there was no evidence that such activities were being provided. Interviews with staff revealed a lack of awareness and implementation regarding the resident's activity needs. A CNA stated she was not aware of any in-room activities provided to the resident and had only seen him in bed without engagement items. The Activities Director confirmed that no in-room activities or entertainment, such as a radio, were provided and was unable to explain why. The Activities Director also expressed unfamiliarity with the resident's cognitive level and the risks of limited stimulation. Although the Administrator stated the resident participated in some facility events and received bedside engagement, there was no documentation or observation supporting regular, individualized activity provision as required by the facility's guidelines.