Failure to Provide Resident-Centered Activity Program
Penalty
Summary
The facility failed to implement an ongoing, resident-centered activity program for a resident diagnosed with dementia and moderately impaired cognition. The resident's medical record and assessments indicated that it was important for him to have access to reading materials, listen to music, participate in religious practices, keep up with the news, and engage in favorite activities. Despite being able to ambulate independently and having no impairment in range of motion, documentation showed only two activity events over a one-month period, with no further evidence of participation in activities. Observations on multiple occasions revealed the resident sitting in a common area with the television on, but not engaging with it or any other activities. Interviews with staff indicated uncertainty about the resident's activity preferences, with some staff only aware that he enjoyed talking or one-to-one activities. The facility's policy required activities to be based on comprehensive assessment and care plans tailored to resident preferences, with documentation of participation. However, the lack of documented activities and staff awareness demonstrated a failure to provide a resident-centered activity program as required.