Failure to Provide Resident-Centered Activity Program
Penalty
Summary
The facility failed to provide an ongoing, resident-centered activity program for one resident with diabetes, diabetic neuropathy, an amputation below the right knee, and left shoulder pain. The resident was cognitively intact and required staff setup assistance for certain activities of daily living. Documentation showed that the resident's care plan included participation in group and independent activities, as well as room visits. However, interviews and record reviews revealed that the resident did not receive activity room visits and was not asked about preferences for in-room activities. The resident reported that activity staff had not inquired about his needs 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 room visits or group activities were provided from 11/1/2025 to 12/1/2025 unless specifically requested by the resident. The activity staff did not proactively visit the resident or offer activities unless the resident asked. The Director of Nursing acknowledged that daily activities should be provided and documented, including refusals, and that lack of daily activity could negatively impact the resident's self-esteem. Facility policy required assessment of resident interests and the development of individualized activity plans, but these procedures were not followed for this resident.