Failure to Provide and Document Resident Activities According to Care Plan
Penalty
Summary
The facility failed to provide documented evidence of an ongoing activities program that supported residents' choices, specifically for one resident reviewed during the Medicare/Medicaid recertification survey. Interviews revealed that the resident enjoyed listening to music, but the responsible party reported that no activities were being offered. The resident's care plan indicated a goal for participation in one-on-one visits at least twice per week, with interventions including gospel music, daily bread, and television. However, activity logs showed only five visits in May and two in June, with no documentation available from admission until May. The Activities Director attributed the lack of documentation to a former assistant discarding soiled logs and cited insufficient support staff as a reason for inconsistent activity provision. Observations and interviews confirmed that activities for residents unable to leave their rooms were supposed to be provided according to care plans, but the actual frequency and documentation did not align with these plans. The Activities Director stated that music was played for the resident two to three times a week for about 15 minutes per session, but this was not consistently documented. The lack of complete activity logs and inconsistent delivery of planned activities led to the deficiency, as the facility could not demonstrate that it met the resident's activity needs as outlined in the care plan.