Failure to Provide Resident-Centered Activities Program
Penalty
Summary
Facility staff failed to provide an activities program that met the needs and preferences of a resident with severe cognitive impairment. The resident, who had a diagnosis of dementia with behavioral disturbance and a BIMS score indicating severe cognitive impairment, had documented preferences for activities such as reading, listening to music, being around animals, keeping up with the news, participating in group activities, going outside, and engaging in religious practices. Despite these documented preferences, the care plan for activities was not individualized and lacked measurable goals and specific approaches tailored to the resident's needs. Observations during the survey revealed that the resident was either in their room or ambulating in the hallway and was never observed participating in any activities or receiving one-to-one engagement from staff. Review of activity participation logs showed that activities were only provided on a few days each month, with no documentation of daily or individualized activities, and no records of participation for two consecutive months. The care plan inaccurately stated that the resident was independent in meeting their activity needs, despite evidence of cognitive impairment and the need for staff engagement. Interviews with the Activity Director confirmed that one-to-one visits and group activity invitations were supposed to be documented, but there was a lack of documentation to support that these interventions occurred regularly. The absence of a resident-centered care plan and insufficient documentation of activity participation led to the finding that the facility did not meet regulatory requirements for providing an activities program that addresses the unique needs and preferences of the resident.