Failure to Assess and Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide a record of an activity assessment and did not implement an ongoing, resident-centered activities program to meet the interests of a resident who did not participate in activities outside of his room. The resident, who was admitted with hemiplegia and hemiparesis following a stroke affecting his right dominant side, was cognitively intact and had documented preferences for books, music, animals, and being outside. The care plan noted a preference for self-directed activities such as reading and watching television in his room, but interventions were limited to reviewing these preferences as needed. During observation, the resident was found awake in his room with the lights and television off, and he reported difficulty engaging in reading due to his physical limitations and was unaware of available art supplies or accommodations for his interests. Interviews revealed that the Activity Director, who had recently started at the facility, was unaware of the resident's specific interests in coloring and reading and could not locate a completed activity assessment for the resident, which should have been done at admission. The resident stated that no one had discussed his activity preferences with him or offered supplies to support his interests, particularly in coloring, which he missed most. The lack of assessment and individualized activity planning resulted in the resident's needs and preferences not being addressed.