Failure to Provide Meaningful and Resident-Centered Activities
Penalty
Summary
The facility failed to provide an ongoing program of meaningful activities for all residents reviewed, as evidenced by observations, interviews, and record reviews for six residents. The facility's policy required a resident-centered activities program based on comprehensive assessments and care plans, but multiple residents reported a lack of activities that matched their interests and preferences. The activities calendar showed limited options, with only two days of arts and crafts, and no religious services, card games, news groups, or sewing/needle craft groups offered. Several residents expressed dissatisfaction with the available activities. One resident, who enjoyed sewing and needlework, was told there was no sewing machine and was not offered alternatives. Another resident, who preferred knitting, crocheting, and woodworking, was unable to bring their personal sewing machine due to space limitations. Residents also reported a lack of stimulating activities, limited pet therapy visits, and no access to books or newspapers. Some residents who preferred self-directed or small group activities stated that options were not available for them, and one resident noted that the only activity performed daily was watching television. Staff interviews confirmed that the activities coordinator was aware of some resident preferences, such as sewing and needle crafts, but was not aware of others, like card games. The coordinator stated that residents were provided with a monthly activities calendar and encouraged to attend group activities, but there was no puzzle/game room and limited one-on-one in-room visits. The administrator acknowledged that the facility had room to improve in providing activities for all residents, regardless of cognitive impairment.