Failure to Provide Resident-Centered Activities Program
Penalty
Summary
Surveyors identified that the facility failed to provide an ongoing, resident-centered activities program that met the physical, mental, and psychosocial well-being and individual interests of residents. Multiple residents with varying medical conditions, including expressive aphasia, traumatic brain injury, stroke, and cognitive impairment, were not provided with activities tailored to their preferences as documented in their assessments and care plans. For example, one resident who was totally dependent on staff and unable to communicate verbally had care plans that did not specify preferred activities, such as music type, TV programs, or religious denomination, despite these being identified as important in assessments. Documentation did not support that planned one-on-one visits or preferred activities were consistently provided. Another resident, who had a high cognitive function score and expressed little interest or pleasure in activities, reported never being offered activities and was unaware of the Resident Council or key staff. The care plan indicated daily visits and encouragement to join group activities, but activity records showed that on most days, no activities were documented, and there was no evidence of offers or refusals. Similarly, a resident with a traumatic brain injury and cognitive impairment had a care plan emphasizing the importance of religious services, but there was no documentation of attendance, offers, or refusals for such activities. Additionally, a resident with a history of stroke who required assistance to attend activities reported not participating due to lack of staff support. The care plan included specific interventions such as providing daily puzzles and twice-weekly one-on-one visits, but records did not show these were provided. Staff interviews revealed a lack of understanding of documentation requirements and inconsistent consideration of resident preferences when planning activities. The facility's documentation practices did not reflect the provision of individualized activities as outlined in care plans, nor did they consistently record resident participation, refusals, or unavailability.