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F0679
D

Failure to Provide Resident-Centered Activities and Maintain Accurate Activity Records

Los Angeles, California Survey Completed on 06-06-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide resident-centered activities for a resident with dementia, major depressive disorder, and generalized muscle weakness. The resident was dependent on staff for transfers and had expressed, through assessment and care planning, a strong preference for participating in religious services, specifically Christian mass, which was considered very important to her. Despite this, the resident was not consistently informed about or brought to religious services, and there was a lack of communication regarding cancellations or alternative activities when the service was not held. Interviews with staff revealed inconsistencies in how residents were notified about activities, with responsibility for informing residents sometimes falling between activity staff and CNAs. On the day in question, the activity assistant did not conduct room visits due to being the only assistant present, and the CNA reported that the resident preferred to stay in bed but did not specifically address the resident's desire to attend religious services. The resident herself stated she had not been told about the religious service and would have attended if invited, emphasizing the importance of these services to her spiritual well-being. Additionally, the facility did not follow its own policy and procedure regarding documentation and tracking of resident participation in activities. The activity director acknowledged that the policy requiring attendance tracking for each activity had not been implemented, resulting in incomplete records of which residents participated in which activities. This lack of documentation and communication contributed to the resident not receiving her preferred activities and the facility not maintaining accurate records as required.

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