Failure to Provide Activities Meeting Resident Needs and Preferences
Penalty
Summary
The facility failed to provide activities that met the needs and preferences of a resident with severe protein calorie malnutrition, altered mental status, COPD, and weakness, who was moderately cognitively impaired. The resident expressed interest in music, pets, keeping up with the news, and going outside for fresh air, and had a history of enjoying hunting, country music, trivia, and exercise. The care plan indicated a need for encouragement to participate in activities and suggested interventions such as verbal reminders and providing sensory stimulation through television and music. However, activity calendars showed a lack of scheduled activities in the afternoons, evenings, and weekends, with most activities being self-initiated and not staff-facilitated, which the resident was unable to do. Multiple observations confirmed the resident remained in bed and did not participate in activities, and both the resident and family reported dissatisfaction with the lack of engagement and opportunities to leave the room. Interviews with the Activity Director revealed that she was the sole staff member responsible for activities, was not certified, and only provided one-on-one visits with the resident two to three times a month. She acknowledged not offering the resident music, trivia, or exercise materials, despite knowing these were his interests. The Activity Director also confirmed that most activities outside her working hours were self-initiated, which the resident could not participate in. The facility's policy required ongoing programs to support residents' activity choices based on assessments and care plans, but this was not implemented for the resident in question.