Failure to Provide Scheduled Activities and Implement Care Planned Interventions
Penalty
Summary
The facility failed to provide scheduled activities and did not implement care planned interventions for several residents, resulting in unmet psychosocial and recreational needs. Multiple observations and interviews revealed that activities listed on the facility's activity calendars, such as manicures, cards, hydration carts, bingo, and group discussions, were not conducted as scheduled across various nursing units. Staff and residents consistently reported that activity staff were often absent, and scheduled activities were not provided, with some staff attributing this to activity aides being off work or reassigned to supervise smoke breaks. Additionally, documentation of resident participation in activities was inconsistent or missing, with activity aides lacking access to the electronic system and resorting to informal paper records, which were not always maintained or transferred to the official record. Several residents with cognitive and physical impairments, including those with hemiplegia, schizoaffective disorder, dementia, and paraplegia, expressed feelings of boredom, isolation, and disappointment due to the lack of activities and outings. Residents reported that they were not encouraged or assisted to attend activities, were not taken outside except for smoke breaks, and had not participated in planned community outings such as zoo trips, which were canceled due to lack of transportation. Some residents noted that broken recreational equipment, such as video games and air hockey tables, further limited their options for engagement. Interviews with staff confirmed that activities were not provided as scheduled, and that there were no activities on weekends or during certain shifts, leading to increased resident boredom and behavioral issues. Review of care plans and medical records for affected residents showed that interventions to encourage participation in activities, socialization, and outings were not implemented. Residents' preferences for specific activities, outdoor time, and pet therapy were not honored, and there was little evidence of one-to-one or self-directed activity participation. The facility's own policy required the provision of meaningful experiences and a variety of activities, but observations and documentation revealed that these standards were not met. The lack of consistent activity programming and failure to follow care plans had the potential to affect all residents in the facility.