Failure to Provide Resident-Centered Activities for Dependent Residents
Penalty
Summary
The facility failed to provide resident-centered activities for two dependent residents, resulting in a deficiency related to meeting their physical, mental, and psychosocial needs. Observations and interviews revealed that one resident, who had significant neurological and mobility impairments, was not offered activities aligned with her interests, such as music, crafts, and social events, despite these being documented in her care plan and activity assessments. Documentation showed minimal participation in activities of interest over a 29-day period, and no such activities were offered during a specific five-day window. Family and staff interviews confirmed that the resident was not capable of initiating activities independently and relied on staff for engagement, which was not provided. Another resident, diagnosed with Parkinson's Disease and dementia, also experienced a lack of individualized activity offerings. This resident preferred small group and in-room activities, such as listening to music, reading magazines, and pet visits, and required reminders and assistance to participate. However, documentation indicated that the resident only participated in reading or similar activities on three out of 31 days. Staff interviews further revealed that activity staff did not routinely provide in-room activities or individualized engagement for residents who did not attend group activities in common areas. The facility's activity calendar and policy indicated that room visits were only offered twice weekly, and staff practices did not align with the documented needs and preferences of the residents. Activity staff primarily distributed written materials and did not consistently interact with or offer tailored activities to residents in their rooms. The deficiency was further substantiated by staff and administrative interviews acknowledging the lack of person-centered activity offerings and documentation for these dependent residents.