Failure to Provide Resident-Centered Activities and Adequate Engagement
Penalty
Summary
Surveyors identified that the facility failed to provide a resident-centered activities program that incorporated the interests, hobbies, and cultural preferences of multiple residents, specifically those with severe cognitive impairments and high ADL dependency. Observations revealed that several residents, including those with dementia, Alzheimer's disease, depression, and anxiety, were left in the activity room without staff presence or engagement in meaningful activities. Residents were observed sitting idly or sleeping in their wheelchairs, with only hymnals playing on an iPad and no staff interaction. Additionally, residents were not offered drinks or snacks for extended periods, and personal hygiene needs were not consistently met, as evidenced by uncombed hair, wrinkled or soiled clothing, and food debris on their bodies and wheelchairs. Interviews with CNAs and activity staff confirmed that there was insufficient staffing to provide both personal care and activities, with staff reporting that the majority of residents required two-person assistance for transfers, leaving little time for hygiene or engagement. Activity staff admitted that the activity calendar was rarely updated and did not reflect the current interests or needs of the residents. When the designated activity staff was absent, there was no effective coverage, and other staff were often unaware of the activity schedule or unable to facilitate activities due to workload. Administrative staff acknowledged that the activities provided were outdated and redundant, and that the activity calendar did not meet all residents' needs. They also confirmed that over half of the residents required significant assistance for mobility and ADLs, further straining available staff resources. Facility policy required sufficient staffing to maintain residents' physical, mental, and psychosocial well-being, but observations and staff interviews indicated that this standard was not being met, resulting in a lack of meaningful interaction and activities for residents.