Failure to Provide Resident With Preferred Outings and Shopping Activities
Penalty
Summary
The facility failed to provide a resident with preferred activities, specifically outdoor patio activities, outings, and shopping, as identified in the resident’s activity assessments and care plan. The resident, who had a diagnosis of depression and the capacity to understand and make decisions, was assessed on multiple occasions as enjoying outdoor and community-based activities. The Minimum Data Set indicated the resident could make reasonable and consistent decisions, required partial to moderate assistance with ADLs, and used a manual wheelchair for mobility. The resident’s care plan for depression included interventions to assist him in developing and providing meaningful activities of interest, with a goal of being free from signs and symptoms of distress and not exhibiting indicators of depression such as a sad mood or anxiety. Despite these documented preferences and care plan interventions, review of the facility’s activity calendars over several months showed no outings or shopping activities offered. In interviews, the resident reported wanting to leave the facility on good-weather days to purchase items from a store and stated that remaining inside made him feel sad and frustrated, expressing a desire to do something outside or away from the facility to feel like a normal human being. A restorative nursing assistant confirmed that the resident had expressed a wish to go shopping and that the facility mostly provided indoor activities rather than outings. The Activity Director acknowledged that no group outings had been provided, citing the need to apply for a government ride permit for each resident, and stated that residents’ activities of choice should have been planned and implemented, including outings and shopping when families were not available to take residents out. The DON and Administrator both stated that the resident’s activity interests should have been provided to promote meaningful experiences and ensure comfort and quality of life.
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