Failure to Provide Resident-Centered Activities Based on Preferences
Penalty
Summary
The facility failed to provide resident-centered activities that incorporated the preferences of a resident who was moderately cognitively impaired and had expressed a strong interest in listening to music, particularly country music. The resident's care plan and assessments documented the importance of music and specific television channel preferences, as well as occasional participation in religious meetings via Zoom. Despite these documented preferences, activity records showed that the resident only received five one-on-one visits over a 27-day period, with no other activities documented. Observations revealed the resident lying in bed with the television on, unresponsive to external stimuli, and not engaged in preferred activities. Interviews with the resident confirmed that she had not been provided opportunities to listen to her preferred music, stating she would listen to music television but preferred a radio, which was not available. The Life Enrichment Director acknowledged the availability of CD players and country music CDs but noted the resident had declined their use a few times, and refusals were not documented. The Administrator confirmed that refusals should be documented, but this was not done. These actions and omissions resulted in the facility not meeting the resident's individualized activity needs as required.