Failure to Provide Resident-Centered Activities Based on Assessment and Preferences
Penalty
Summary
The facility failed to provide meaningful activities that matched the preferences and needs of a resident with a history of major depressive disorder and moderate cognitive deficits. The resident, who required assistance to get out of bed and preferred social activities such as bingo and coffee gatherings, reported uncertainty about participating in activities due to inconsistent assistance with mobility and personal care, such as not being helped to change into her own clothing. Interviews and record reviews revealed that the Activities Director (AD) did not consistently offer or document activities according to the resident's stated preferences and care plan, particularly during March and April. The AD acknowledged that activities were not provided as preferred and that the resident's care plan interventions had not been updated since the previous year, despite quarterly and comprehensive assessments being conducted. Further, the AD was unaware of the need to update activity care plans following reassessments, and the facility's policy required activities to be based on comprehensive, resident-centered assessments and preferences. The Director of Nursing (DON) confirmed that activities should be tailored to each resident's preferences and that the AD should update care plans as part of the interdisciplinary team. The lack of updated care plans and failure to provide activities as preferred resulted in the resident not receiving adequate social and meaningful engagement as outlined in her care plan and facility policy.