Failure to Provide Individualized and Documented Activities for Residents
Penalty
Summary
The facility failed to provide individualized activities to meet the needs and preferences of its residents, as required by policy. For one resident with anxiety disorder and cognitive intactness, the care plan indicated a need for encouragement to participate in activities of interest, with a wide range of preferred activities such as crafts, music, outings, and computer-related tasks. However, observations revealed that scheduled activities were canceled or not conducted as planned, and the activities that did occur were repetitive and not challenging, leading to resident dissatisfaction. The resident expressed that activities were monotonous and that outings, which she enjoyed, were not made available to her, especially due to limitations with wheelchair accessibility on the facility van. Another resident with depression, schizoaffective disorder, and other chronic conditions was also dependent on staff for activities and social interaction. His care plan included encouragement for group activities, pet visits, and outings, with a particular interest in going outside and fishing. Despite these documented preferences, the activities director confirmed that one-on-one activities were not provided, outings were infrequent, and there was no evidence of the resident's participation in activities for several months. The director also stated that most activities for residents requiring one-on-one attention were limited to watching TV or coloring. Documentation practices were also deficient, as the activities director admitted to not recording activity participation or changes in resident preferences in the medical records for years. Attendance was tracked informally, and there was no documentation of individualized activity engagement or adjustments based on resident feedback. These failures affected at least two residents reviewed and were observed during a census of 77 residents.