Failure to Provide Ongoing Resident Activity Program After Loss of Activity Director
Penalty
Summary
The facility failed to provide an ongoing program of activities based on comprehensive assessments, care plans, and resident preferences for at least two residents. After the Activity Director (AD) left the facility at the end of October, there was no replacement, and scheduled activities were not consistently provided. Multiple interviews with residents, family members, and staff confirmed that regular activities such as bingo, movie matinees, and birthday parties had not occurred for over a month. Residents were observed spending time watching TV in their rooms or in common areas, with limited engagement in group or individual activities. One resident with severe cognitive impairment and multiple medical conditions, including a history of stroke and dementia, was found lying in bed watching TV and had not participated in preferred activities like dominoes or bingo in recent weeks. Another resident, who was cognitively intact but medically complex, also reported not seeing any activities offered and spent most of her time watching TV. Family members and other residents corroborated the lack of activities, noting that previously scheduled events had not taken place and that the activity calendar was outdated. Staff interviews revealed that, in the absence of an AD, some group therapy sessions and occasional music or church services were provided, but these did not follow the established activity calendar or meet the individualized needs and interests of all residents. The facility's own policy required ongoing activity programming tailored to resident assessments and preferences, but this was not maintained. Documentation for recent months, such as resident council meeting minutes and updated activity calendars, was missing or unavailable, further indicating a lapse in the facility's activity program.