Failure to Provide Activities Meeting Residents' Needs Due to Care Planning and Staffing Issues
Penalty
Summary
The facility failed to ensure that activities were available and designed to meet the interests and support the well-being of all residents, specifically for two residents with cognitive impairments and behavioral needs. One resident with diagnoses including dementia, schizophrenia, and depression was observed multiple times wandering the hallways and not participating in activities, despite documented preferences for music and religious activities. There was no documented activity care plan for this resident in the current electronic medical record, and staff relied on verbal communication to share preferences. Observations showed the resident was often not engaged by staff and did not participate in ongoing activities, even when redirected. Another resident with Alzheimer's disease, anxiety, and depression missed an off-unit activity because the activities staff were unable to transfer the resident from an enclosed frame walker to a wheelchair, and nursing staff were not available to assist with the transfer. This resident's care plan indicated a need for transport assistance to attend off-unit events, but the lack of coordination between activities and nursing staff resulted in the resident remaining on the unit and not participating in the scheduled activity. Interviews with staff confirmed that the transition to a new electronic medical record system led to missing care plans and that activities staff could not perform necessary transfers without nursing assistance.