Failure to Provide and Document Resident Activities
Penalty
Summary
The facility failed to provide activity programs that met the needs of all residents, as evidenced by missed scheduled activities, lack of documentation of activity participation, and failure to offer or complete meaningful activities for several residents. Observations showed that activities listed on the Special Care Unit (SCU) calendar, such as music and craft sessions, were not conducted at the scheduled times. Additionally, staff did not document attendance or the offering of group, independent, or one-on-one activities for multiple days for several residents. For one resident with severe cognitive impairment and osteoarthritis, records indicated that activity participation was unknown, and there was no documentation of activities being offered or attended over several days. Another resident with cognitive communication deficits, schizophrenia, and bipolar disorder had a care plan specifying preferred activities and the need for assistance to attend, but staff failed to document any activity participation or offerings during multiple periods. A third resident with multiple chronic conditions, including COPD, CKD, and CHF, preferred independent activities such as using a computer and reading, but there was no documentation of activity involvement, and the resident reported not seeing activity staff for one-on-one visits or being informed about available activities. Interviews with staff revealed inconsistent practices regarding the provision and documentation of activities, particularly on the dementia unit. Some staff admitted to not documenting one-on-one visits or not being instructed to provide such activities. The Activity Director and DON both acknowledged gaps in documentation and the need for one-on-one activities, while residents expressed a lack of engagement and awareness of available options. These findings demonstrate a failure to implement and document an activity program that supports the physical, mental, and psychosocial well-being of all residents as required by facility policy.