Failure to Implement Person-Centered Activity Care Plan
Penalty
Summary
The facility failed to implement a person-centered care plan for one resident by not following documented interventions related to the resident's preference for not attending group activities. The resident, who had diagnoses including diabetes mellitus with neuropathy, an amputation below the right knee, and left shoulder pain, was admitted with intact cognitive skills and required some assistance with daily activities. The care plan specified that staff should encourage self-directed activities and conduct rounds to monitor and offer appropriate interventions for activity needs. Despite these documented interventions, interviews and record reviews revealed that activity staff did not conduct room visits or offer in-room activities unless specifically requested by the resident. The resident reported that activity staff had not inquired about his preferences for in-room activities and that he enjoyed making a ball from rubber elastic bands, but this interest was not addressed. Activity staff confirmed that the resident only attended group activities when his room was being deep cleaned and that no group or in-room activity visits occurred for a one-month period. The Director of Nursing acknowledged that the care plan interventions were not followed, emphasizing that staff should have encouraged self-directed activities and monitored the resident's activity needs as outlined in the care plan. Facility policies required comprehensive, person-centered care plans with measurable objectives and timetables, and specified that activity plans should be developed with resident participation and included in the total care plan. However, these requirements were not met for this resident, resulting in a failure to deliver necessary care and services as planned.