Failure to Provide In-Room Activities as Required by Care Plans
Penalty
Summary
The facility failed to provide an ongoing program of activities based on comprehensive assessments, care plans, and resident preferences for two residents who required in-room activities. Both residents had severe cognitive impairments and were identified as needing individualized in-room activities due to their inability or unwillingness to participate in group activities. Despite care plans specifying the need for in-room activities at least three times per week, documentation and participation records showed that neither resident received these activities for a period of three weeks. One resident, a male with major depressive disorder, anxiety, lack of coordination, and moderate dementia, had a care plan indicating a need for a variety of activity types and locations, with a goal to participate in activities of choice one to three times per week. He was also identified as an elopement risk and was supposed to be provided with memory boxes. However, records indicated he did not receive in-room activities during the specified period, and he did not have a memory box as required by his care plan. The activity director confirmed that the resident was on the in-room activity program and acknowledged the failure to provide the required activities. The second resident, a female with unspecified dementia, generalized anxiety disorder, and cognitive communication deficit, also had a care plan requiring in-room activities and engagement in diversional activities. She was not physically or mentally able to attend group or community activities and was at risk for wandering. Despite these needs, participation records showed she did not receive in-room activities during the same three-week period. The activity director admitted to forgetting to provide in-room activities to both residents after adding them to the in-room activity program. The administrator confirmed the expectation that in-room activities be provided to residents who need them and acknowledged the responsibility of the activity director to ensure this occurs.