Failure to Provide Resident-Centered Activities and Document Participation or Refusals
Penalty
Summary
The facility failed to implement an ongoing, resident-centered activities program designed to meet the interests and support the physical, mental, and psychosocial well-being of each resident, as evidenced by the experiences of four residents. One resident, who is legally blind and has resided at the facility for over a year, expressed that access to reading materials, music, animals, and religious services was very important. However, there was no documentation of activity participation or 1:1 visits for most of the reviewed period, and staff could not provide records of activity refusals. The care plan for this resident included interventions such as 1:1 visits and assistance to activities, but these were not documented as being carried out. Another resident, admitted for rehabilitation and with moderately impaired cognition, reported being unaware of activities in the facility. The resident's MDS assessment did not include the required activity preferences section, and there was no activities care plan in place. Activity attendance records showed only one documented activity, and staff could not provide documentation of refusals despite stating that the resident often refused activities. Similarly, a long-term resident with intact cognition reported rarely getting out of bed and not receiving in-room activities. The annual MDS assessment for this resident also lacked the required activity preferences section, and there was no documentation of activity participation or refusals. A fourth resident, also with intact cognition, expressed a desire for more varied activities beyond bingo and indicated a preference for reading materials and outdoor time. The care plan for this resident focused on group activities and bingo, which did not align with the resident's stated preferences. Observations confirmed the absence of reading materials in the resident's room, and activity records did not show that reading materials or outdoor opportunities were offered. These findings were confirmed by interviews with staff and the DON, and no further information or documentation was provided by the facility prior to the end of the survey.