Failure to Provide Therapeutic Activities in Memory Care Unit
Penalty
Summary
The facility failed to provide therapeutic activities in the secured memory care unit to meet the physical, mental, and psychosocial well-being of all 18 residents in that unit. Observations over several weeks revealed that scheduled activities were not consistently implemented, with residents often sitting in common areas with minimal engagement, such as a single television being on or music playing. The activity calendar was frequently not followed, and some planned activities, such as crafts, manicures, and basketball trivia, were either delayed, substituted, or not conducted at all. Staff interviews confirmed uncertainty about why activities were not occurring as scheduled and acknowledged that there were not enough activities, especially for residents unable to leave the secured unit. The physical environment in the common area was not conducive to social interaction, with chairs arranged in a way that limited conversation among residents. Some residents were taken off the unit for activities like bingo, but those who could not leave had no alternative activities provided. Staff also reported that items previously used for engagement, such as sofas, baby dolls, and cribs, had been removed. Despite having adequate supplies, the activity program did not meet the needs of the residents, and hydration or bathroom assistance was sometimes listed as an activity. The facility's own policy required meaningful, person-centered activities, but this was not being met according to observations and staff interviews.