Failure to Provide Meaningful Activities for Dependent Residents
Penalty
Summary
The facility failed to provide appropriate and meaningful activities for two residents with severe cognitive impairment and high dependency for activities of daily living. Both residents were observed in their rooms, in bed, without any form of engagement such as television, music, or other devices during multiple days and times. Record reviews indicated that both residents had documented preferences for activities such as listening to music, keeping up on the news, participating in group activities, and going outside. Care plans for both residents included encouragement to attend activities of their choice and assistance with attending special events or going off the unit. However, activity task documentation showed no evidence that any independent, intellectual, physical, social, or spiritual activities were provided to either resident during the reviewed period. Interviews with the Activities Director confirmed that room visits are intended for residents who are bedbound or do not leave their rooms, but there was no documentation of any such activities for the two residents in question. The Director of Nursing also confirmed that care activities should be provided and documented. Facility policies require an ongoing program of activities to meet the interests, choices, and preferences of each resident, supporting their physical, mental, and psychosocial well-being, as well as their right to participate in activities programs of their choice. Despite these policies, the facility did not provide or document activities for the two residents reviewed.