Failure to Provide Ongoing Activities for Cognitively Impaired Resident
Penalty
Summary
Surveyors identified that the facility failed to provide an ongoing activity program to meet the needs of a resident with Alzheimer's disease and dementia. The resident was admitted with diagnoses including Alzheimer's disease and dementia, and an MDS assessment documented impaired short-term memory and moderately impaired decision-making capacity. An activity assessment showed the resident preferred watching classical and musical movies, and the activities care plan included an intervention to provide in-room activities. However, the resident’s family member reported not observing the resident participating in any activities while residing at the facility. During a concurrent interview and record review with the Activity Director, it was confirmed that there were no activity progress notes indicating that the resident had been provided with activities during her stay. The Activity Director stated that residents with Alzheimer's disease need activities to stimulate mental cognition. The DON stated that the risk for the resident in not having activities was mental deterioration. The facility’s policy on Quality of Life-Dignity indicated that each resident should be cared for in a manner that promotes well-being and that residents are encouraged to attend activities of their choice, including recreational and social activities, but the documented and reported lack of activities for this resident showed this was not carried out in practice.
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