Failure to Provide Required In-Room Activities for Resident with Severe Cognitive Impairment
Penalty
Summary
The facility failed to provide an ongoing activities program tailored to the comprehensive assessment, care plan, and preferences of a resident with severe cognitive impairment. Specifically, a female resident with diagnoses of depression, generalized anxiety disorder, and unspecified dementia, who was rarely or never understood and unable to communicate her preferences, did not receive in-room activities from early July through mid-August 2025. Her care plan required personalized engagement and at least two one-on-one activities per week to support her psychosocial well-being, but records showed no in-room visits during the specified period. Observations confirmed the resident was found in her room without any form of stimulation, such as television or other activities, and she was not interviewable due to her condition. The Activity Director acknowledged the lapse, stating there was no excuse for the lack of in-room activities and confirming her responsibility to ensure all residents received appropriate activities based on their needs and abilities. The Administrator also confirmed the expectation for in-room activities for residents who require them and recognized the Activity Director's responsibility for implementation and his own role in monitoring the program.