Failure to Honor and Provide Resident Activity Preferences
Penalty
Summary
The facility failed to ensure that activities were honored and provided according to the preferences and needs of a resident with dementia and PTSD, who had a severe cognitive impairment as indicated by a BIMS score of six. The resident's admission MDS documented that it was very important for them to be around animals, do favorite activities, go outside in good weather, and listen to preferred music. However, the care plan only noted a general enjoyment of music and did not include specific preferences such as pet visits, listening to chosen music, group activities, or going outside. Observations over several days showed the resident sitting alone in common areas with little to no staff interaction and not being included in group activities occurring nearby. Interviews with the resident, their representative, CNAs, and the Activities Director confirmed that the resident enjoyed country and older rock music, liked dogs, and would participate in activities if invited. Staff were either unaware of the resident's preferences or had not included the resident in one-on-one visits or group activities. The Activities Director acknowledged that key preferences were missing from the care plan and were not being offered. The Administrator confirmed that the care plan did not reflect the resident's activity preferences and that activities were not being offered as expected.