Failure to Support Resident Activity Preferences and Individualized Engagement
Penalty
Summary
The facility failed to adequately support both facility-sponsored and individual activities for two residents who were dependent on staff for activity participation. For one resident, the care plan noted a lack of activity involvement and a preference not to participate in group activities, but did not document any self-guided activities or efforts to encourage the development of the resident's interests, hobbies, or skills. The resident's social history indicated interests in arts and crafts, sports, music, reading, and television, but the activity records primarily reflected participation in smoking, occasional group events, and inconsistent documentation regarding actual engagement. The resident reported to staff that he would participate more if other options were available and specifically requested a television remote, which had not been provided. He also denied having access to a hand-held radio, contrary to what was documented in his assessment. Another resident, who was cognitively intact but dependent on staff for mobility and personal care, also experienced a lack of individualized activity support. Her care plan acknowledged her preference for independent leisure activities and willingness to attend group activities, but did not specify self-guided activities or how her interests would be supported. Activity records for this resident frequently noted her as "not available" for scheduled activities, with inconsistent or unclear documentation about her actual participation. During interviews, the resident expressed feelings of boredom and borderline depression, stating that she was not assisted in time to attend group activities due to her need for mechanical lift transfers. She also indicated a desire for books, puzzles, or games for use in her room, which had not been offered. Staff interviews revealed a lack of awareness regarding the residents' needs and preferences. The activity aide was not aware that either resident wanted more independent activities or that one resident was not being assisted to group activities in a timely manner. The activity director and nursing staff were also unaware of specific barriers, such as the non-functioning television or the need for assistance with transfers. The facility's documentation and communication gaps contributed to the failure to provide meaningful activities tailored to the residents' preferences and abilities.