Failure to Provide Resident-Centered In-Room Activities
Penalty
Summary
The facility failed to provide a resident-centered activities program to meet the needs of residents who required one-on-one in-room activities. During a five-day survey period, five residents residing on a locked unit were observed, and no activities were provided to them during the observed hours. These residents had documented cognitive and physical impairments, including dementia, encephalopathy, mood disorders, schizophrenia, repeated falls, and in some cases, tracheostomy and gastrostomy status. Their care plans specified the need for staff-assisted in-room activities, such as reading, watching television, music, socializing, and sensory stimulation, with staff visits scheduled one to two times per week. Record reviews for these residents revealed a lack of documentation of individual in-room activities for the month prior to the survey, with most residents having no recorded participation in any activities. Observations confirmed that these residents were not engaged in any activities during the survey period, and staff were not seen providing or assisting with activities as outlined in the residents' care plans. In one case, a resident's television was only on for one day out of five, and another resident had only one documented in-room activity in the past 30 days. The Activity Director stated that activities were provided daily on the locked unit and that in-room activities were performed and documented one to two times per week. However, she was unable to explain the lack of observed activities and documentation for the residents in question during the survey period. This discrepancy between the care plans, staff statements, and actual practice led to the deficiency in providing individualized activities for residents requiring in-room engagement.