Failure to Develop and Implement Individualized Activity Plan for Resident
Penalty
Summary
The facility failed to develop and implement an individualized activity plan for a resident who was admitted with diagnoses including encephalopathy, diabetes, and dementia. Observations over several days showed the resident sitting in a wheelchair near the nurse's station, and review of the electronic health record revealed that no activities assessment was completed upon admission and the care plan lacked an activities focus area. During interviews, the Recreation Director stated that no recreation assessment or activity care plan was completed because the resident was on isolation precautions at admission and was unaware of the resident's current isolation status. The Administrator confirmed that activity care plans are expected to be completed within 72 hours of admission and that residents on isolation should be offered one-on-one or in-room activities.