Failure to Individualize and Update Activity Care Plans
Penalty
Summary
The facility failed to review and revise comprehensive care plans to accurately reflect the activity and food preferences of five residents. For each of these residents, the care plans either lacked documentation of specific activity interests or, in one case, did not include an activity plan at all. Direct interviews and observations revealed that residents participated in limited or no activities beyond what was documented, and their stated preferences or interests were not reflected in their care plans. For example, one resident attended only bible study and no other activities, while another was left at a dining table without engagement or refreshments. Another resident's family member reported that her loved one enjoyed social activities such as bowling and sewing, but these preferences were not documented or acted upon in the care plan. Staff interviews indicated a lack of awareness regarding the need to individualize and document resident preferences in the care plans, especially for those unable to attend resident council meetings. The facility's own policy requires that resident interests, hobbies, and cultural preferences be incorporated into the care plan following assessment, but this was not consistently done. The deficiency was identified through a combination of record reviews, resident and staff interviews, and direct observation.