Failure to Provide Ongoing Activities Program for Resident with Cognitive Impairment
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to meet the needs and preferences of a resident with severe cognitive impairment, non-Alzheimer's dementia, and major depressive disorder. The resident's care plan and MDS assessment indicated preferences for activities such as listening to music, spending time outdoors, Jewish singing, and socializing with friends from a meditating community. However, documentation showed the resident primarily participated in exercise and one-on-one visits, with limited engagement in other activities. There was a lack of evidence that the resident was offered or participated in a broader range of activities listed on the facility's activity calendar, such as outings, bingo, movies, cooking, crafting, and coffee club. Observations over several days revealed the resident spent significant time sitting or lying in bed, at the dining room table, or watching TV in the day room, with no documentation of participation in preferred or varied activities. Staff interviews confirmed that activity offerings were limited, partly due to staffing constraints, with the Life Enrichment Coordinator also responsible for transportation, reducing time available for activities. The Director of Activities acknowledged the limited activity schedule and expressed a desire to increase the frequency and variety of activities, but at the time of the survey, the deficiency remained.