F0679

D

Failure to Provide Consistent, Person-Centered Activities as Scheduled

Rochester Hills, Michigan Survey Completed on 02-25-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide consistent, meaningful, person-centered activities as scheduled and in accordance with residents’ preferences. One resident reported that the Activity Director posted monthly activity calendars but did not follow them, resulting in missed activities, particularly on weekends, such as BINGO and brain games. This resident stated that activity staff never conducted room visits, that music activities did not reflect their preferences, and that they were usually not taken on community outings when other residents went into the community. The resident described being bored on weekends and said they would attend activities if they were consistently offered. They also reported not being notified when activities were cancelled or times were changed, which caused frustration and upset.

Surveyor observations corroborated these concerns. The activity calendar in the resident’s room showed a scheduled Brain Games activity on a Saturday, but the resident reported that when they went to attend, no one came to the activity room. The first-floor activity calendar posted in the dining room showed BINGO scheduled at a specific time, but when the surveyor observed the room during that period, there was no BINGO activity and no activity staff present. Another resident was observed waiting in their wheelchair in the dining room for BINGO to start and reported that activity staff were always late, that activities did not start on time, and that there were no activities on Sundays and some Saturdays. This resident stated that BINGO, previously held three times a week, was now only on Mondays and expressed frustration with the delays and missed activities.

Further observations showed that the resident who had been waiting for BINGO left after waiting approximately 40 minutes, along with at least three other residents, and no activity staff or BINGO activity were present during that time. BINGO was later observed to have just started nearly an hour after the scheduled time. The Activity Director acknowledged that BINGO started late and attributed delays and missed activities to staffing shortages, a no call/no show by an activity aide, and the need to cover activities on both floors with limited staff. The Activity Director also acknowledged that activities were getting missed more often on the first floor, where residents were more independent, and that there were simultaneous activities scheduled on both floors that could not be covered by the available staff. Review of activity logs for the two residents showed participation on only a portion of days in the look-back period, similar dates with no activities documented, no refusals recorded, and minimal Sunday activities, despite a posted calendar indicating a full schedule. The facility’s policy stated that residents would be informed of activities through posted calendars, announcements, and individual communication, and that assistance would be provided to residents who wished to participate but could not get to activities on their own, but the documented and observed practices did not align with these procedures.