Failure to Provide Individualized and Ongoing Activity Programs
Penalty
Summary
The facility failed to provide an ongoing program of activities that met the needs and preferences of its residents, as evidenced by the experiences of two residents. For one resident with significant cognitive impairment and limited physical mobility, the care plan did not specify the independent activities the resident enjoyed, nor did it address important preferences such as pet visits or going outside, despite these being identified as very important in the resident's Minimum Data Set (MDS) assessment. Documentation of activity participation was inconsistent, with many days lacking any record of activities, and family or friend visits were frequently documented as the sole activity. The Activity Director confirmed that he did not individualize the care plan to reflect the resident's specific interests and was unaware of which residents received pet visits. Activity documentation over a three-month period showed significant gaps, with many days unaccounted for and limited evidence of meaningful engagement in activities tailored to the resident's preferences. The care plan had not been updated to reflect the resident's current interests or to ensure that important preferences were being met. Another resident, who had dementia and hearing difficulties, was observed sitting in a wheelchair in their room without any meaningful activity. The resident expressed a lack of engagement and was unaware of available activities. The care plan for this resident included goals for participation in group, one-on-one, or independent activities, and the MDS assessment indicated a strong preference for going outside and participating in religious services. However, activity logs showed minimal participation, with only a few documented activities and no evidence that the resident's stated preferences were being addressed.