Failure to Provide Resident-Centered Activities and Document Participation
Penalty
Summary
The facility failed to provide a continuous, resident-centered activities program as required by its own policy and the care plan of a resident who is bedbound, cognitively intact, and has diagnoses including schizoaffective disorder and major depression. The resident's care plan and MDS indicated that it was very important for them to keep up with news, attend favorite activities, listen to preferred music, and participate in religious services. Despite these documented preferences, reviews of the activity calendars and participation records for two consecutive months showed no evidence that the resident was invited to, refused, or participated in scheduled activities such as BINGO, live music, or church services. The activity calendar was posted in a location not visible to the resident, and the resident reported being unaware of activities, expressing a desire to have been informed about them. Interviews with the Activity Director confirmed that bedbound residents or those not interested in group activities should receive one-on-one engagement at least twice a month and should still be invited to activities of their choice. However, there was no documentation that the resident was offered or refused such activities or one-on-one sessions. The Market Clinical Advisor also stated that offers and refusals should be documented daily, but this was not done for the resident in question. This lack of documentation and failure to invite or offer activities as per the resident's preferences and care plan constituted the deficiency.