Failure to Provide Ongoing Activity Program for Cognitively Impaired Resident
Penalty
Summary
The facility failed to implement an ongoing activity program to meet the needs of a cognitively impaired and dependent resident. Multiple observations over several days showed that the resident, who has diagnoses including Parkinson's disease and vascular dementia with behavioral disturbance, was frequently in bed with her eyes open, facing the wall, and without any sensory stimulation such as television or music. The resident was also observed seated in a broda chair near the nurses' station but again without engagement in activities. Documentation revealed that the resident was to receive one-to-one visits three times weekly and enjoyed activities such as watching birds, listening to music, coloring, and sensory programming. However, there was no evidence of consistent activity participation or documentation for several days, and the resident was not observed participating in scheduled group activities, such as glamour nails. The resident's care plan and activity assessments indicated a reliance on staff for social, physical, mental, and sensory stimulation, with specific interventions outlined to encourage participation in both group and one-to-one activities. Despite these plans, records and direct observation showed a lack of implementation, with gaps in activity documentation and missed opportunities for engagement. The Activity Director acknowledged the oversight and indicated an intention to address the lack of stimulation, but at the time of the survey, the deficiency remained unaddressed.