Failure to Provide Individualized Activities Based on Resident Assessments
Penalty
Summary
The facility failed to provide activities based on comprehensive assessments and care plans that reflected the preferences and needs of residents, specifically for two residents reviewed for activities. One resident, an elderly female with chronic kidney disease, osteoarthritis, diabetes, COPD, hypertension, major depressive disorder, reduced mobility, and hand contractures, was not taken to activities after expressing interest, nor was she provided with in-room activities. Her care plan did not address activities, and there was no documentation of in-room visits or activity attendance, despite her stated enjoyment of Bingo and need for assistance to participate. Staff interviews confirmed that she rarely attended activities due to dialysis and mobility limitations, and that she had expressed sadness about missing activities she enjoyed. Another resident, an elderly female with chronic kidney disease, Parkinson's disease, bipolar disorder, anxiety disorder, major depressive disorder, dysphagia, dementia, hypertension, and heart failure, was not provided with one-on-one activities. Her care plan also lacked an activity focus area, and although her activity assessment indicated preferences for books, newspapers, magazines, and music, none of these were observed in her room during the survey period. She remained in her room with only a television for stimulation, and staff interviews indicated she rarely attended group activities and had not been identified for in-room visits by the new Activity Director. The facility's policy required that recreation programs be based on residents' interests and needs, and that those unable to participate in group settings be provided with individual programming. However, documentation and interviews revealed that these requirements were not met for the two residents in question, as their activity needs and preferences were not addressed in their care plans or through the provision of appropriate activities, either in-room or in group settings.