Failure to Provide Individualized Activity Program for Resident
Penalty
Summary
The facility failed to provide an ongoing, individualized activity program for one resident, resulting in unmet needs and interests as identified in the resident's care plan and assessments. The resident, who was moderately cognitively impaired with diagnoses including dementia with agitation, anxiety disorder, and insomnia, expressed that it was important to have access to reading materials, music, animal visits, religious services, and opportunities to go outside. Despite these preferences being documented, there was no evidence that the resident was consistently offered or able to participate in these activities. Observations revealed that the resident spent significant time alone in his room without engagement in activities, even when group activities such as animal therapy were occurring nearby. On one occasion, a therapy dog visited other rooms on the unit but did not visit the resident's room, despite his documented interest in animal therapy. Staff interviews confirmed that the resident had become more withdrawn following the death of his spouse and that he required reminders and encouragement to participate in activities, but there was no documentation or observation of such efforts being made during the review period. Record review further indicated that, although the resident's care plan included interventions such as inviting him to religious activities, offering animal therapy, and encouraging outdoor time, there was no documentation in the electronic medical record that these interventions were implemented. Staff acknowledged the importance of activities for residents' well-being but did not provide evidence that the resident's individualized needs and preferences were being met as required by facility policy.