Failure to Provide Ongoing and Individualized Activity Program
Penalty
Summary
The facility failed to provide an ongoing activity program designed to meet the interests and support the physical, mental, and psychosocial well-being of each resident. Multiple observations across several villas revealed that residents were often left sitting in common areas, dining rooms, or in their rooms without engagement in any scheduled or meaningful activities. Despite the presence of an activity calendar, activities such as reading the news, trivia games, music class, balloon toss, and karaoke were not conducted as scheduled. Residents were frequently observed asleep, sitting idly, or simply looking around, with no staff or activity personnel facilitating engagement. Interviews with staff, including CNAs and the Activity Director, indicated that CNAs were overwhelmed with other duties such as meal preparation, cleaning, laundry, and resident care, leaving them unable to conduct activities. The Activity Director was reported to spend minimal time in each villa, often just dropping off coloring pages and newsletters, which were not well received by residents. Activities that did occur were brief and infrequent, and there was a lack of communication to residents about when and where activities would take place. Residents expressed a desire for more activities, outings, and clearer information about scheduled events, but these needs were not being met. Residents with dementia and other conditions requiring encouragement and assistance to participate in activities were not adequately supported, as indicated by care plans and staff interviews. The activity program was not individualized or adapted to the cognitive and physical abilities of all residents, particularly those in the dementia unit. Family members and staff confirmed the lack of appropriate and consistent activities, and the activity calendar was not followed. The deficiency affected all residents in the facility, as the program did not meet regulatory requirements for supporting residents' well-being through meaningful activities.