Failure to Provide Resident-Centered Activity Care Plan
Penalty
Summary
Facility staff failed to ensure that the activity care plan for a resident was appropriately individualized and resident-centered. The resident, who had diagnoses including senile degeneration of the brain, unspecified psychosis, anxiety, and spinal stenosis, was noted to be cognitively impaired with a BIMS score of 00 and was rarely understood. Despite documented interests in religious activities, baking, country music, television, movies, and dogs, the care plan only included generic interventions for one-on-one activities and was not updated to reflect the resident's preferences or cognitive decline. Activity assessments indicated unchanged preferences, but the care plan did not incorporate specific or meaningful activity options tailored to the resident's needs. Record review showed that the resident was only offered a limited number of one-on-one visits in recent months, with no visits documented in the previous ten days. Observations on multiple dates revealed the resident remained in her room, with no lights, television, or music, and had not participated in any activities or been encouraged by staff to do so. Staff interviews confirmed that activity care plans were not updated to reflect the resident's interests or cognitive status, and the facility's policy required care plans to include resident needs and interests.