Failure to Provide Individualized Activities for Bedbound Resident
Penalty
Summary
A deficiency was identified when a resident with multiple diagnoses, including moderate cognitive impairment, major depressive disorder, schizoaffective disorder, and significant physical limitations, was not provided with activities tailored to her interests and needs. The resident's Minimum Data Set (MDS) assessment indicated that it was very important for her to have access to books, newspapers, magazines, be around animals, and participate in religious services, with some interest in music and keeping up with the news. Despite these documented preferences, there was no care plan addressing activities for the resident, nor any documentation explaining why she remained in bed or was not provided with the requested materials. The resident was dependent on staff for most activities of daily living and wheelchair mobility, yet staff only used a mechanical lift to weigh her and did not facilitate her participation in activities. During interviews and observations, the resident expressed a desire to get out of bed and participate in activities, stating she would be willing to use her wheelchair despite feeling scared. She also reported that the facility did not bring her any books, magazines, or other items to engage her while she was bedbound. The administrator confirmed there was no documentation regarding the resident's activity participation, reasons for her being in bed, or any refusals to get out of bed. The lack of individualized activity provision and documentation directly contradicted the resident's assessed preferences and needs.