Failure to Provide Individualized Activities for Bedfast Residents
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to the comprehensive assessment, care plan, and preferences of each resident, specifically for two residents who were either bedfast or required substantial assistance. Both residents had significant medical and cognitive needs, including conditions such as osteomyelitis, multiple sclerosis, major depression, metabolic encephalopathy, and severe obesity. Despite these needs, the facility did not ensure that daily activities occurred regularly for these residents, nor were individualized room visits conducted to meet their interests and psychosocial well-being. Observations and interviews revealed that one resident, who was bedbound and severely cognitively impaired, was unable to see the activity calendar posted in her room and reported that the activity director had never visited her. She expressed a desire for more activities and stated she would try activities other than bingo if offered. Another resident, who was cognitively intact but required partial assistance, also reported not knowing the activity director, not having an activity calendar, and not receiving any in-room activities. Both residents were observed multiple times in their rooms without any activities being provided. The activity director admitted to not maintaining accurate participation logs and stated that she had fabricated the logs when requested by surveyors. She also reported difficulty keeping up with all residents due to lack of assistance from CNAs. The facility's own policy required individualized and group activities based on resident preferences and needs, as well as proper documentation and communication of activity offerings, but these were not followed for the residents in question. No activity assessments or participation logs were provided for the two residents when requested by surveyors.