Failure to Provide Activities Based on Resident Preferences and Needs
Penalty
Summary
A deficiency was identified when a resident with chronic kidney disease, diabetes, severe cognitive impairment, and significant visual impairment was not provided with recreational activities that met their documented interests and preferences. The resident's activity assessment indicated interests in music, pets, fresh air, and other activities, but the care plan failed to include a recreational activities component. Observations revealed that the resident was unaware of available activities, had no access to music in their room, and had not participated in pet therapy or been taken outside for fresh air, despite these being identified preferences. The activities calendar showed pet therapy was available, but it was not offered to the resident, and no individualized music therapy was provided. Interviews with the Assistant Director of Recreation and the Recreational Director confirmed that one-on-one activities were limited to brief social interactions and passive television watching, with documentation sometimes occurring without direct engagement. The staff acknowledged that the resident's interests in music, pets, and fresh air had not been addressed, and no reassessment of activity preferences had been conducted since admission. Facility policy required activities to be centered around individual interests and needs, but this was not implemented for the resident in question.