Failure to Provide and Document One-on-One Activities for Residents
Penalty
Summary
The facility failed to provide one-on-one activities tailored to meet the interests and needs of residents who were unable or unwilling to participate in group activities. This deficiency was identified through record review, observation, interviews, and facility policy review, and affected three residents. Documentation for scheduled one-on-one activities was either missing or incomplete, and staff interviews confirmed that these activities were not consistently offered or recorded as required by the residents' care plans. One resident with schizoaffective disorder, major depressive disorder, and impaired cognition was care planned to receive one-on-one activities twice weekly, but documentation showed only a single entry for the month, with the resident denying the activity. The resident reported not being offered opportunities to attend activities outside her room and described staff as unkind and unengaged during visits. Staff interviews confirmed that one-on-one activities were not consistently documented or provided, and the activity director acknowledged the lack of documentation for these visits. Another resident with chronic respiratory failure, obstructive sleep apnea, and major depressive disorder was also scheduled for twice-weekly one-on-one activities. Documentation showed only a few instances of staff visiting to chat or provide reading material, with no evidence that the scheduled frequency was met. The resident expressed a preference for in-room activities related to his interests, such as video games and movies, but reported that the activity department did not accommodate these preferences. A third resident with ataxic cerebral palsy, epilepsy, and schizophrenia was care planned for personalized activities and one-on-one visits due to declining health, but there was no documentation to support that these activities were provided. Staff interviews confirmed that most one-on-one activities consisted of sitting and chatting, with no documented evidence of these interactions.