Failure to Provide Direct, Interactive Activities on Weekends
Penalty
Summary
The facility failed to provide direct, interactive activities based on resident preferences during weekends for its census of 44 residents, as identified through observation, record review, and interviews. Activity calendars for several months showed repetitive scheduling of movies, games, social hours, puzzles, and a specific game on weekends. However, the Resident Council reported that these activities were often not conducted, with the activities coordinator only occasionally present on weekends. When the coordinator was absent, nursing care staff did not complete the scheduled activities, instead resorting to playing movies or television shows, and not engaging in staff-led activities. Residents reported frequent boredom on weekends due to the lack of interactive programming. Staff interviews confirmed that scheduled weekend activities were often not completed, as activities staff typically worked only Monday through Friday. Direct care staff, including CNAs and LNs, stated they were too busy with resident care to facilitate activities, and only provided materials like puzzles and games for residents to use independently. The facility's Activities Programming policy required activities to meet residents' needs and interests, but this was not consistently implemented on weekends, resulting in a lack of direct, interactive engagement for residents during those times.