Failure to Develop Comprehensive Activity Care Plan for Resident with Visual and Cognitive Impairments
Penalty
Summary
A deficiency occurred when the facility failed to develop a comprehensive care plan addressing the activity needs and preferences of a resident with chronic kidney disease, diabetes, bilateral cataracts, and hypertension. The resident was admitted with a history of interests such as drawing, fishing, music, and being outdoors, and was identified as having severe cognitive impairment and highly impaired vision. The resident's Minimum Data Set assessment indicated that it was very important for them to listen to preferred music, go outside for fresh air, and be around animals. However, the care plan only addressed impaired visual function and included interventions such as one-on-one staff visits, without addressing the resident's specific activity preferences. During observation and interview, the resident was found lying in bed with the television on, without access to a radio or music player, and was unaware of available recreational activities. The resident reported not being involved in activities or taken outside for fresh air. Review with the Assistant Director of Recreation confirmed that no care plan had been initiated for the resident's activity needs, and there were no interventions in place to provide appropriate activities as identified in the resident's assessment.