Failure to Provide Scheduled Activities and Resident Engagement
Penalty
Summary
The facility failed to provide activity programs that support the physical, mental, and psychosocial well-being of residents, as required. Observations, medical record reviews, and interviews revealed that scheduled activities such as morning reminiscing, pottery, morning stretches, and one-on-one visits were not conducted as listed on the activity calendars across multiple houses. Staff interviews confirmed that activities were not held because CNAs were occupied with other duties, such as working in the kitchen, and residents were not encouraged or invited to participate in activities. Several residents with severe cognitive impairments and multiple medical diagnoses, including dementia, diabetes, Parkinson's disease, and depression, were affected. Their care plans indicated a need for encouragement, reminders, and motivation to participate in activities, with preferences for group and individual engagement such as watching television, crafts, BINGO, and socializing. Despite these documented needs and preferences, observations showed that residents were often left in their rooms or sitting idle, with no staff engagement or activity facilitation. Staff interviews further confirmed that activities were inconsistently provided, and residents were not routinely invited or encouraged to join. The facility's policy emphasized the importance of meaningful engagement and staff accountability for activity documentation, but this was not reflected in practice. As a result, the facility did not meet the requirement to provide activities that promote independence and community interaction for all residents reviewed.