Failure to Provide Individualized Activity Program in Memory Care Unit
Penalty
Summary
The facility failed to provide a comprehensive activity program tailored to meet the interests and support the physical, mental, and psychosocial well-being of residents in the Chronic, Confusion, and Dementia Illness (CCDI) unit. Multiple residents with diagnoses of non-Alzheimer's dementia, Alzheimer's disease, and vascular dementia, and with varying levels of cognitive impairment, were observed and reported to have no access to meaningful activities. Interviews with residents, their representatives, and staff revealed that there were no visible activity calendars, no scheduled or posted activities, and that residents were often unaware of any available activities, including those outside the unit. Some residents expressed interest in activities such as church services or puzzles but were not informed of these opportunities. Family members and representatives also voiced concerns about the lack of activities and engagement for their loved ones. Staff interviews confirmed that the CCDI unit had previously had a dedicated activity staff member, but this position had not been replaced after the staff member left. The current arrangement expected CNAs to provide activities as time allowed, but staff acknowledged that CNAs often did not have time to do so. The Activity Coordinator role was being filled by the Provisional Administrator, who also served as the Business Office Manager, and there was no evidence of an updated activity calendar or documentation of resident participation. Facility policy required individualized activity programming and regular assessment, but these processes were not being followed, resulting in residents not receiving activities appropriate to their needs and interests.