Failure to Provide Activities of Interest to Resident
Penalty
Summary
A deficiency occurred when the facility failed to provide activities of interest to a resident with diagnoses including cerebellar ataxia, epilepsy, mild anxiety, and depression. The resident, who was dependent on staff for mobility and personal care, had a care plan specifying enjoyment of activities such as bingo, reading, music, and pet therapy, with interventions to offer these activities and ensure access to an activity calendar and activity cart. Despite these documented preferences and interventions, observations showed the resident was often in bed, either awake in a dark room or watching TV, and had not attended bingo in a long time. Interviews revealed that the resident liked bingo but was not consistently prepared in time to attend, and staff did not escalate the issue or provide alternative activities as outlined in the care plan. Further review indicated that the recreational staff did not routinely offer activities to the resident, often due to the resident's closed door, and there was a lack of documentation regarding activity refusals or efforts to engage the resident. The recreation therapist acknowledged not escalating the issue when the resident was not ready for activities, and 1:1 interactions were infrequent and not well-documented. Facility records confirmed the resident had not participated in or refused bingo during the review period, and the facility's policy required meaningful activities to support residents' social, emotional, and physical needs, which was not met in this case.