Failure to Provide Ongoing Activity Programming for Bedbound Resident
Penalty
Summary
The facility failed to provide quality activity programming for one resident with severe cognitive impairment and psychosis. The resident was admitted with diagnoses including cognitive communication deficit and psychosis, and was assessed as being severely cognitively impaired, unable to complete the Brief Interview for Mental Status Exam. Observations over several days showed the resident remained in bed without the TV or music on and was not engaged in any activities. The resident was unable to participate in interviews, and care plans indicated a need for meaningful activity interventions, including obtaining a social history, providing a calendar, and staff engagement during room visits. Review of activity participation records showed that the resident received individual visits from activities staff only during a nine-day period, with no evidence of further activity engagement or in-room visits after that time. Interviews with staff confirmed that the resident had not been out of bed for months and that there was no documentation of ongoing activity involvement. The Activity Director acknowledged the lack of evidence for continued in-room visits or activity participation for the resident after the initial period.