Failure to Provide Meaningful Activities per Resident Preference
Penalty
Summary
The facility failed to provide meaningful activities according to the preferences of a resident with multiple psychiatric and neurological diagnoses, including Parkinson's disease with dyskinesia, bipolar disorder, obsessive-compulsive disorder, unspecified psychosis, suicidal ideations, schizophrenia, and visual and auditory hallucinations. The resident was cognitively intact and had a documented preference for independent activities, such as watching TV and movies, listening to music, spending time outside, and taking naps, primarily in his room during the afternoon and evening. Despite these documented preferences, there was no evidence that the resident had access to a TV or that the activity of watching TV/movies was completed for thirty days. Observations confirmed the absence of a TV in the resident's room, and the resident reported that his TV had not been reinstalled after a room change. Staff interviews revealed that the activity staff communicated daily activity options to the resident and attempted to provide in-room activities, but the resident declined or returned these items. The Activities Director confirmed the resident's preference for solitude and independent activities, as well as the lack of a TV in the new room following a room move. The deficiency was identified through observation, medical record review, census review, and interviews, demonstrating a failure to meet the resident's individualized activity needs as outlined in his care plan.