Failure to Provide Individualized Activity Programs for Residents
Penalty
Summary
The facility failed to provide an ongoing, individualized program of activities designed to meet the needs and interests of four residents, as required. For one resident with severe cognitive impairment and a neurogenetic disorder, care plans indicated a preference for music, pet visits, group activities, and spiritual practices. However, participation logs and staff interviews confirmed that pet visits were not offered, and observations showed the resident was often left sitting or sleeping in common areas without engagement in preferred activities. Another resident with polyneuropathy and a history of stroke, also severely cognitively impaired, was observed repeatedly sitting in hallways and common areas without meaningful activity or staff interaction, despite a care plan indicating interests in group and individual activities, crafts, and pet visits. Staff passed by without engaging the resident, and there was no evidence that preferred activities were provided. A third resident with dementia and vision impairment was observed alone in her room or in her wheelchair without any engaging activities, and staff did not offer participation in scheduled group activities. The activity cart lacked materials suitable for her preferences, such as music or sensory items, and participation records did not show that musical activities were offered. A fourth resident with Alzheimer’s and severe cognitive impairment was observed isolated during activities and not engaged with the television, with care plans indicating a preference for outdoor activities and pet visits, which were not provided. Staff interviews and participation logs confirmed that these individualized activities were not offered, and the resident’s sensory mat was not utilized when she appeared restless.