Failure to Provide and Document Activities for Cognitively Impaired Residents
Penalty
Summary
The facility failed to provide ongoing activities that met the preferences of cognitively impaired residents, as evidenced by the review of records and interviews for three residents. For one resident with severe cognitive impairment and multiple medical diagnoses, activity assessments indicated preferences for snacks, movies, game shows, outings, pet visits, and religious services. However, documentation was lacking regarding whether scheduled one-on-one visits occurred or what activities were provided, and the resident was observed not actively engaged or alone in her room on multiple occasions. The Activity Director acknowledged inconsistent documentation of participation and activity types. Another resident with severe cognitive impairment and a history of dementia and alcohol dependence had documented preferences for creative arts, crafts, music, outdoor activities, and spiritual activities. Despite this, records only showed sporadic participation in group events, with refusals noted but no details on the types of activities offered or independent activities provided. A third resident's record also lacked documentation of participation in or being offered preferred activities such as reading, music, pet interaction, and outdoor time, despite these being identified as important. Staff interviews confirmed that some activities, like word searches, were provided but not documented, and activity records were only maintained for certain activities like communion.