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F0679
D

Failure to Provide Individualized Activities Program

Aurora, Colorado Survey Completed on 06-26-2025

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 an ongoing activities program that met the individualized needs and preferences of two residents, as required by their care plans. For one resident with multiple sclerosis and autism, who was cognitively intact, the care plan specified interests such as reading, writing, music, pet visits, outdoor time, and spiritual activities. However, records and interviews revealed that this resident was not invited to activities, did not receive assistance to go outside, and did not participate in pet visits or spiritual activities, despite these being documented as important to him. Another resident with dementia, blindness, and chronic kidney disease, who required moderate ADL assistance, was also not provided with activities aligned with his preferences. Observations showed that staff did not offer or facilitate engagement in music, news, coffee time, or other preferred activities, even though these were outlined in his care plan. The resident was often left in his room or in common areas without meaningful interaction or stimulation, and staff did not provide reminders or assistance to participate in group or individual activities. Staff interviews confirmed that while activity preferences were assessed and calendars provided, there was inconsistency in inviting and encouraging residents to participate in activities. The activities director acknowledged that CNAs may need reminders and re-education to ensure residents are consistently engaged according to their care plans. The lack of personalized activity programming and failure to offer or encourage participation resulted in unmet physical, mental, and psychosocial needs for the affected residents.

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