Failure to Provide Ongoing Activities Program for Resident Well-Being
Penalty
Summary
The facility failed to provide an ongoing program of activities to meet the interests and support the physical, mental, and psychosocial well-being of each resident on two nursing units. Review of the activity calendar and direct observations revealed that scheduled activities, such as one-on-one room visits, were not conducted as planned. Residents were observed sitting in common areas, such as in front of the TV or in the dining room, without engagement in meaningful activities. Staff interviews confirmed that one-on-one visits were not occurring due to staffing issues, and there was a lack of sufficient activity materials, such as fidget items, to support scheduled group activities. Clinical documentation for a resident with dementia, muscle weakness, dysphagia, and anemia showed no record of one-on-one activities for the past 30 days, with activity tasks marked as not applicable. Staff reported that some residents spent most of their time sitting in front of the TV, and residents expressed interest in other activities like coloring and listening to music, which were not provided. The deficiency was further supported by the lack of available activity supplies and the inability to conduct planned activities due to resource limitations.