Failure to Provide Individualized Activities Program for Residents
Penalty
Summary
The facility failed to provide an ongoing activities program that met the individual needs and preferences of two residents, resulting in a lack of both group and one-on-one activities. For one resident with severe cognitive impairment and reduced mobility, there was no evidence that activity preferences were assessed or documented, and no initial activity assessment was completed. The resident's care plan indicated a need for one-on-one activities, but records showed that these were not provided or documented for several months. Observations revealed the resident spent extended periods without stimulation, either in her room or in the common area, and staff interviews confirmed a lack of knowledge regarding her activity preferences. Another resident, who had moderate cognitive impairment, depression, and anxiety, was care planned to receive one-on-one activities twice per week, as he preferred in-room visits and did not participate in group activities. However, activity records indicated that the scheduled one-on-one visits were not consistently provided during the review period. The resident expressed a desire for more frequent visits and reported feelings of loneliness, particularly in the afternoons. He also stated that no one had asked him about his preferences for in-room visits, and the activities provided did not align with his stated interests. Interviews with the Activity Director and other staff confirmed that both residents were on the in-room activity program but did not consistently receive the activities as planned. The Activity Director acknowledged not documenting refusals or consistently assessing preferences, and was unaware of the specific desires of the residents. Facility policy required individualized activity programs and proper documentation, but these were not followed, resulting in unmet psychosocial and emotional needs for the residents involved.