Failure to Provide Consistent Resident Activities Due to Staffing Issues
Penalty
Summary
The facility failed to provide sufficient activities to meet the needs of all residents, as evidenced by the lack of consistent activity programming for three residents with varying medical and psychological diagnoses. Documentation and interviews revealed that scheduled activities were frequently canceled or not held, particularly when the Activity Director, who also worked as a CNA, was assigned to resident care duties. Residents reported that many activities listed on the calendar did not occur, and there were no activities on weekends. Staff interviews confirmed that the Activity Director was unable to complete approximately 40% of scheduled activities due to being pulled to work the floor, and weekend staff did not consistently provide activities as expected. Clinical record reviews showed that residents valued and wished to participate in activities such as reading, group events, religious practices, and outdoor time, but participation records indicated sporadic attendance, with some residents only participating in activities on a handful of days over several months. Observations further confirmed that scheduled group activities were not held as planned, and documentation lacked evidence of activities being offered on many days. The facility's own policy required an ongoing person-centered activity program, but this was not consistently implemented due to staffing issues and competing responsibilities for the Activity Director.