Failure to Update and Revise Activity Care Plans
Penalty
Summary
The facility failed to ensure that care plans for activities were reviewed and revised as required for two residents. For one resident with an anxiety disorder, the care plan had not been updated since January of the previous year, despite the resident expressing dissatisfaction with the repetitive nature of activities and a desire for more challenging options, such as going for drives and enjoying new scenery. The resident was cognitively intact and had specific interests, but these preferences were not reflected in the most recent care plan. The Activities Director confirmed that there was no documentation of changes in participation or preferences in the resident's medical record. Another resident, with diagnoses including depression, hypertension, diabetes, schizoaffective disorder, insomnia, sleep apnea, and anxiety, also had a care plan that had not been updated since October of the previous year. This resident was cognitively intact and valued going outside and participating in favorite activities, but there was no evidence that the care plan had been revised to reflect any changes in interests or participation. The Activities Director acknowledged that care plans were only updated at scheduled conferences or when changes were noted, and could not provide evidence of recent updates for this resident. Facility policy requires ongoing assessment and updating of activity care plans based on residents' interests and needs.