Failure to Provide Staff-Led Activities on Weekends
Penalty
Summary
The facility failed to provide direct, interactive activities based on resident preferences for residents on weekends, specifically on Sundays. Review of activity calendars for several months showed that on most Sundays, only self-led activity packets were offered, rather than staff-led group activities. Resident Council members reported that weekend activities were inconsistent with the schedule, and on Sundays, staff-led activities were often not provided. Instead, residents were typically given puzzles or packets to complete individually. The council also noted that activities staff did not work on Sundays and that other staff were often too busy to facilitate group activities due to short staffing. Interviews with activities staff and a CNA confirmed that while staff sometimes came in on Saturdays to lead activities, Sundays were limited to distributing activity packets containing puzzles, games, coloring pages, and drawings. The facility's Activities Programming policy, revised in May 2025, stated that activities should meet residents' needs and interests to support their physical, mental, and psychosocial well-being. The lack of staff-led activities on Sundays was inconsistent with this policy and contributed to the deficiency.