Resident Relocated Without Personal Belongings or Entertainment
Penalty
Summary
A deficiency occurred when a resident was temporarily relocated to another room without any of her personal belongings or sources of entertainment. The resident, who had a history of depression, moderate cognitive impairment, limited mobility, and was dependent on staff for activities of daily living, was moved due to her roommate's declining condition and increased family presence. Upon relocation, the resident was left in a bare room with no television, non-functioning clock, and no reading materials or activities, despite her care plan indicating a need for activity engagement and her use of antidepressant medication. Observations and interviews revealed that the resident expressed sadness and discomfort about the move, stating she had nothing to do and was left with only blank walls to look at. Staff interviews confirmed that none of her personal items were moved with her, and there was no immediate effort to provide alternative entertainment or activities. Nursing staff acknowledged awareness of the resident's boredom and the lack of a television, but did not consider or provide other forms of engagement. The Activity Director was noted to leave activities for residents, but it was the responsibility of nursing staff to ensure the resident was not left bored or sad. Facility policy required that residents be oriented to transfers and reassured that all personal effects would be brought to the new room. However, this was not followed, as staff did not move the resident's belongings or provide adequate support to maintain a home-like and comfortable environment. Multiple staff members, including the ADON and DON, recognized after the fact that the resident should have had some of her personal items and entertainment to prevent feelings of sadness or depression during the temporary relocation.