Failure to Provide Outdoor Activity per Resident's Care Plan
Penalty
Summary
The facility failed to honor an activity preference that was documented in the activity care plan for a resident with dementia and left-sided weakness, who was unable to make his own health care decisions. The resident's care plan specified that staff should take him outside to sit in the sun when the weather was nice, and a quarterly activity review indicated he enjoyed being outdoors. However, a review of activity participation notes over several months showed no documentation of the resident being taken outside to the patio. Interviews with the Activity Assistant and Activity Director revealed that neither was aware of the care plan directive for outdoor activities for this resident. The Activity Assistant confirmed that she had not taken the resident outside and that there was no group activity for residents to go outdoors. The Activity Director also confirmed the lack of outdoor activities and stated that the care plan did not provide clear instructions regarding supervision or frequency for outdoor time. Additionally, the Activity Director noted that staff had not facilitated the resident's participation in outdoor activities due to not getting him up in his wheelchair, and that not all areas of the patio were visible from inside, raising concerns about supervision.