Failure to Provide Individualized Activities for Bedbound Resident
Penalty
Summary
The facility failed to provide activities designed to enhance a resident's sense of well-being and promote physical, cognitive, and emotional health, as required. A resident with multiple diagnoses, including cardiomyopathy, heart failure, hypertension, muscle weakness, localized edema, bilateral knee pain, diabetes mellitus (on insulin), and lack of coordination, reported being unable to get out of bed and stated that there was little being offered in terms of activities. The resident's care plan listed several interests such as bingo, hunting, fishing, watching TV, baking, cooking, spending time outside, and gardening. However, observations over several days consistently found the resident in bed, primarily watching TV, and not participating in any other activities. Interviews and record reviews revealed that the resident was supposed to have 1:1 activities, but had not received any since a specific date. Activity participation sheets confirmed a lack of documented activities for the resident over a one-week period. Activity staff indicated that the resident was care-planned for self-directed activity and preferred not to leave his room. Despite this, there was no evidence of individualized activities being provided to meet the resident's needs or interests during the survey period.