Failure to Provide Resident-Directed Activities Program
Penalty
Summary
The facility failed to provide an activities program that supported residents in their choice of activities, as evidenced by the experience of one resident. This resident, who had multiple significant diagnoses including cancer, chronic heart failure, COPD, Parkinson's disease, diabetes, and chronic kidney disease, was cognitively intact and required substantial to maximum assistance with mobility and dressing. The resident's care plan included interventions such as monitoring for changes in activity participation, providing 1:1 activities as needed, offering items for self-directed activities, encouraging new activities, and reassessing activity interests. Despite these interventions, the resident reported not being invited to desired activities such as bingo and expressed dissatisfaction with the lack of available activities. Review of activity participation documentation showed the resident was marked as unavailable for activities 71 times and refused 15 times over a two-month period, with participation limited to independent activities like current events, socializing, and television. The administrator confirmed the resident was almost always present in the facility and could not explain why the resident was repeatedly marked as unavailable. Facility policy required activities to be offered based on individual preferences and needs, with participation documented in the medical record, but this was not followed in the resident's case.