Failure to Provide Resident-Centered Activities for Non-Participating Resident
Penalty
Summary
The facility failed to provide an ongoing, resident-centered activities program that included one-on-one (1:1) activities for a resident with severe cognitive impairment and no speech, who did not participate in group activities. The resident's care plan indicated a need for cognitive stimulation and social activities, with interventions such as providing materials for individual activities, inviting the resident to scheduled activities, and ensuring compatibility with the resident's physical and mental capabilities. However, reviews of activity participation records, 1:1 program records, and group activity records for the month showed no documentation of the resident's participation in any activities. Observations over multiple days revealed the resident remained in bed with the television on, and no radio was present in the room. Interviews with staff, including nurse aides and the Activity Director, confirmed that the resident was not observed participating in any group or individual activities, and staff were unaware of the resident's specific activity preferences beyond having the television on. The responsible party expressed concern that the resident was not included in activity programs and stated that the resident enjoyed watching sports and listening to music prior to admission, but had not been asked about these interests by facility staff. The Activity Director and DON both indicated that the Activity Director was responsible for determining and providing appropriate 1:1 activities, but could not recall recent participation or specific activities provided to the resident.