Failure to Provide Individualized Activity Program Based on Resident Preferences
Penalty
Summary
The facility failed to ensure that an individualized activity program was developed and implemented based on a resident's preferences. The resident in question had multiple diagnoses, including COPD, anxiety, depression with psychotic symptoms, dementia with mood disturbance, and difficulty walking, and required transfer with a mechanical lift. The care plan indicated the resident should remain active and social, with interventions such as providing an activity calendar, discussing ongoing events, listening to interests, and reminding the resident of activities. The resident's documented interests included group activities, crafts, music, socialization, and community outings, and she was able to communicate her needs and preferences. Despite these documented preferences, activity participation logs showed limited engagement, with most participation being passive or involving solitary activities such as watching television or listening to the radio. There were no activity participation logs available for two consecutive months, and observations revealed the resident spent most of her time in bed with the television on, often sleeping or not actively engaged. Staff interviews indicated that activity staff did not attempt to wake the resident for activities and that there was a lack of re-evaluation of the activity plan despite the resident's limited participation and expressed interest in group activities if reminded. The activity calendars for the reviewed months showed a limited variety of activities, with many days offering only one activity repeated on different units and few individualized or preference-based options. The resident reported she would be interested in group activities, crafts, and socialization if she received reminders, but this was not consistently provided. The lack of individualized activity programming and insufficient documentation of participation led to the deficiency.