Failure to Provide Individualized Activity Program for Resident Receiving Dialysis
Penalty
Summary
The facility failed to implement an individualized activity program for a resident who was assessed as cognitively intact and had a diagnosis of End Stage Renal Disease (ESRD) and Diabetes Mellitus. The resident required partial assistance with activities of daily living and was receiving hemodialysis three days a week, returning to the facility in the late afternoon. The resident expressed that there were no activities offered in the evening or on weekends, which was confirmed by a review of the facility's activity calendar for the month. Documentation showed that the resident had not participated in any activities since readmission following a hospital stay, despite previously documented interests in activities such as animals/pets, arts/crafts, bingo, family/friend visits, movies, music, and special events, and a preference for activities two to five times per week. The resident's care plan indicated a dependence on staff for activity participation and a need to provide materials for individual activities as desired. However, there was no evidence that the facility provided or facilitated access to activities that matched the resident's preferences or schedule, particularly considering the resident's dialysis treatments and late return to the facility. Interviews and record reviews confirmed the lack of scheduled activities during evenings and weekends, and the absence of documented activity participation for the resident after readmission.