Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide activities that met the individualized needs and preferences of several residents, as evidenced by multiple observations, interviews, and record reviews. Residents were often left without engagement, with some sitting idly in common areas or their rooms, and scheduled activities were not consistently provided. For example, on one occasion, residents in the dementia unit were observed sitting at tables with no staff present and no activities occurring, despite crafts being scheduled on the activity calendar. Staff interviews revealed that activities were frequently canceled or not offered, particularly when staff were pulled to cover other duties such as transportation or meal service. Several residents expressed dissatisfaction with the lack of meaningful activities. One resident reported not knowing about any activities being offered and expressed frustration with being confined to bed and not being able to listen to her preferred music. Another resident stated that he enjoyed activities but was rarely offered any, resulting in him watching television most of the time. Documentation showed that some residents attended group activities more often than preferred, despite their care plans indicating a preference for individual activities. Additionally, some residents had little to no documented participation in activities for the majority of the month. Staff interviews further revealed systemic issues, including a lack of awareness about resident preference assessments and care planning for activities, as well as missed assessments during a transition to a new electronic health record system. Family members also reported not being contacted about activity preferences for their loved ones. The facility's own policy required a resident-centered activities program, but this was not consistently implemented, resulting in unmet physical, mental, and psychosocial needs for multiple residents.