Failure to Provide Resident-Centered Activities per Care Plan
Penalty
Summary
The facility failed to provide resident-centered activities consistent with the care plan for one resident. The resident, who had a history of cerebral infarction, cardiac arrest, anoxic brain damage, aphasia, and scoliosis, was admitted and re-admitted to the facility. The resident's care plan indicated preferences for watching TV, joining small groups, listening to music, and exercising, with specific interventions such as 1:1 socialization, providing an iPad for music, and sensory stimulation. Despite these documented preferences and interventions, observations revealed that the resident was not engaged in these activities as planned. During observations, the resident was found lying in bed, staring straight up, and not watching TV, even though a TV was present in the room. The Activity Director confirmed that the resident was not watching TV at the time and acknowledged that the resident would feel sad if unable to do so. Interviews with staff indicated that while resources and activities were offered, the responsibility for engaging residents in activities was primarily assigned to the Activity Director, with nursing staff only assisting as needed. This lack of engagement and failure to follow the care plan interventions led to the deficiency.