Failure to Provide Sufficient Activity Engagement for Multiple Residents
Penalty
Summary
The facility failed to provide sufficient activity engagement to meet the needs of three residents, as evidenced by observations, interviews, and record reviews. One resident, who was cognitively intact but severely visually impaired, expressed that she could not see and spent her time sitting and listening to the TV. Her care plan included interventions such as inviting her to scheduled activities and providing assistance, but there was no documentation of invitations or participation, and she was observed sitting in her room without engagement throughout the survey period. Another resident, who was severely cognitively impaired, deaf, and nonspeaking, had documented preferences for a variety of activities, including religious services, arts and crafts, and group events. Despite these preferences and family input indicating a need for more engagement, the resident's care plan did not address activity needs, and participation records showed only sporadic involvement in group activities like Bingo. Observations revealed long periods where the resident was left in a geriatric chair without engagement, and the Activities Director confirmed that one-to-one visits, which were indicated as needed, had not been implemented. A third resident, who was cognitively intact but dependent on staff for mobility and had a history of depression and stroke, also experienced insufficient activity engagement. Although his care plan called for one-to-one visits and a program of activities tailored to his interests, records showed minimal participation, and he reported not being informed about or assisted to attend activities he enjoyed, such as Bingo. Staff interviews revealed a lack of coordination between the Activities Director and nursing staff, resulting in the resident not being invited or assisted to attend group activities, and no one-to-one visits were provided despite being care planned.