Failure to Provide Individualized Activities for Resident with Intellectual Disabilities
Penalty
Summary
The facility failed to provide an individualized activity program tailored to the interests and care needs of a resident with profound intellectual disability, cerebral palsy, seizures, scoliosis, lactose intolerance, and gluten sensitivity. Despite being cognitively intact and requiring supervision or assistance with daily activities, the resident was observed repeatedly wandering the halls and dining area, appearing bored and disengaged. Interviews with the resident revealed a desire to go out and participate in meaningful activities, such as work programs, which he had attended prior to admission. Staff interviews confirmed the resident did not attend any day or work programs for individuals with intellectual disabilities, and there was uncertainty among staff as to why this was the case. The care plan for the resident included interventions to support emotional, intellectual, physical, and social needs, such as arranging community activities and ensuring compatibility with his capabilities. However, observations and interviews indicated these interventions were not effectively implemented, as the resident was left to wander and was not engaged in appropriate activities. Resident council members also expressed concerns about the lack of activity and involvement for the resident, noting his tendency to enter other residents' rooms and wander into restricted areas. The facility's assessment and policies did not specifically address the needs of individuals with intellectual disabilities, and staff training did not include working with this population.