Failure to Provide Individualized Activity Programs
Penalty
Summary
The facility failed to ensure that activity programs met the individualized needs and preferences of five out of seven residents reviewed for activities. According to facility policy, each resident should have an activity evaluation incorporated into their care plan, facilitating participation in preferred activities. However, multiple residents expressed that they were not invited to activities, were unaware of scheduled events, or did not receive materials or assistance to participate in their chosen activities. Documentation showed minimal or no activity participation for these residents over a 30-day period, with no refusals recorded. Specific observations and interviews revealed that residents who valued activities such as listening to music, being around animals, reading, socializing, and attending religious services were often left in their rooms without engagement. For example, one resident was observed lying in bed and stated that lying in bed all day was not fulfilling, while another resident expressed boredom and a desire for more reading materials and pet visits. Several residents were not present at group activities, and staff interviews confirmed that there was a lack of consistent invitation and assistance for residents to attend scheduled activities, especially for those dependent on staff support. Activity documentation was inconsistent, with some residents only receiving one-to-one activities on rare occasions and others having no documented participation or refusals. Staff interviews indicated that the process for inviting and assisting residents to activities relied heavily on nursing assistants, and there was a lack of clear communication and follow-through. Additionally, scheduled activities sometimes started earlier than posted, causing residents to miss out. The failure to provide meaningful and individualized activities as outlined in care plans resulted in residents experiencing boredom and a diminished quality of life.