Failure to Provide Individualized and Meaningful Activities for All Residents
Penalty
Summary
The facility failed to provide activity programs that met the individualized needs and interests of all residents, as required by its own policy and regulatory standards. Observations, interviews, and record reviews revealed that three residents did not receive meaningful or personalized activities. Activity calendars showed limited and repetitive offerings, such as nail painting and bingo, with little variation or consideration for residents' preferences, especially for those who were younger or had different interests. Residents reported boredom and dissatisfaction, noting that activities were primarily designed for older residents and that there were few options available on their unit. Resident records and care plans indicated that activities were important to the residents, including interests in music, news, group activities, religious services, reading, and educational programs. However, there was no documentation of activity participation for any of the three residents reviewed. Interviews with residents confirmed that they were not offered activities aligned with their interests, and some reported spending most of their time with little to do, such as working on puzzles alone or watching TV with no other options provided. Staff interviews confirmed that activity documentation was lacking and that one-on-one visits were inconsistently provided or tracked. The Activities Director acknowledged the limited activity schedule in certain units and the need to develop more appropriate options for younger residents. Census lists used by the activities team showed that some residents received few or no one-on-one visits, further demonstrating the facility's failure to implement an ongoing, individualized activities program as outlined in its policy.