Failure to Update Person-Centered Care Plan for Resident Activities
Penalty
Summary
The facility failed to develop a person-centered care plan that addressed all of a resident's needs, specifically neglecting to include the resident's preferred activities. The resident, who had a history of major depressive disorder and moderate cognitive deficits, expressed a desire to participate in social activities such as bingo and coffee gatherings but required assistance to get out of bed and to change into her own clothing. Despite these expressed preferences and needs, the care plan had not been updated since the previous year and did not reflect the resident's current activity interests or participation frequency as indicated in her activity participation review. Interviews with the Activities Director (AD) revealed a lack of awareness regarding the need to update activity care plans following quarterly and comprehensive reassessments. The AD acknowledged the importance of updating care plans to support residents' mental and physical well-being but had not done so for this resident. The Director of Nursing (DON) confirmed that activity preferences should be established through resident interviews and incorporated into individualized care plans, and that the AD should contribute to these updates as part of the interdisciplinary team. The facility's policy also required resident participation in care planning, including determining the type, amount, frequency, and duration of care.