Failure to Implement Individualized Activity Care Plans for Two Residents
Penalty
Summary
Surveyors found that the facility failed to implement individualized care plans for two residents regarding participation in structured activities. Observations over two days showed both residents spending extended periods in the dayroom without engagement in any planned or structured activities, despite care plans specifying their enjoyment of music and the need for therapeutic activities. One resident, who is nonverbal with a history of traumatic brain injury and a BIMS score of 0, was observed sitting in a Geri-chair, not participating in group activities such as music therapy or movies as outlined in her care plan. The other resident, diagnosed with dementia and psychosis and also with a BIMS score of 0, was similarly left unengaged, seated with her back to the television and not included in activities appropriate to her needs. Interviews with staff, including a CNA, the Activities Director, the DON, and an LPN responsible for care planning, confirmed that the residents were not provided with the individualized activities specified in their care plans. Staff acknowledged oversights and a lack of follow-through, with the Activities Director admitting to not bringing the resident to a music activity and the DON confirming the absence of stimulating activities for the second resident. Facility policy requires that residents receive services and items included in their care plans, but this was not followed for these two residents, resulting in a failure to meet their psychosocial needs as documented.