F0679

E

Failure to Provide Meaningful and Preferred Activities on Secured Unit

Millersburg, Ohio Survey Completed on 01-08-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide meaningful and preferred activities for residents on the secured unit, specifically for Resident #9 and Resident #11, despite identified preferences and care plan interventions. Resident #9, admitted with dementia, major depressive disorder, anxiety, and other medical conditions, had a BIMS score indicating intact cognition and a care plan stating the resident felt it was important to listen to music, be around animals, watch TV, play bingo, socialize, go outside in good weather, and attend religious services. The care plan directed staff to invite, encourage, and assist the resident to activities of interest and to provide supplies for independent leisure activities. Activity calendars showed that music, religious services, food activities, and bingo were regularly scheduled, but participation records for December showed Resident #9 did not attend any music or religious activities, only some food and bingo events, and observations during survey showed the resident in common areas without involvement in any structured or independent activity.

Interviews with staff confirmed that the secured unit did not have an assigned activity person and that activity staff did not go to the secured unit to conduct activities. The Activity Coordinator stated that only three or four residents who could sit for 15 to 30 minutes were brought off the secured unit for activities, and verified that residents on the secured unit did not participate in certain scheduled activities such as bread day, although bread was passed to them. The Program Director for the secured unit stated that “Social Circle” on the activity log could mean puzzles, crafts, coloring, or other various activities, and that movies and watching TV were considered the same activity. The Program Director further stated that music was played during meals and the TV was on the rest of the time, and that these were considered daily activities for Resident #9, along with talking and interaction in common areas. However, the Program Director also verified there were no daily, structured activities on the secured unit and that nursing staff only did activities when able.

For Resident #11, who was legally blind with a cognitive communication deficit, difficulty walking, and high blood pressure, the activity care plan documented that it was important to him to listen to music, keep up with the news, participate in group activities, go outside, attend religious services, and have snacks between meals. Review of daily activity logs over several weeks showed that the only documented music exposure occurred when musical entertainment performed at the facility, and there was only one entry for crafts, with no entries indicating that the resident listened to music or kept up with the news as preferred. Multiple observations over several days found Resident #11 lying or sitting in a recliner in a common area near the front desk and main entrance, or resting in bed, without music or TV playing. The Activity Coordinator confirmed that the resident had been seated in the common area for the past two days with no music or news playing, despite these being documented as important activity choices for him. The facility’s policy on Resident Activity Preferences stated that the facility would accommodate resident activity preferences through the comprehensive assessment and care planning process, which was not followed in these cases.