Failure to Complete Activity Assessments and Care Plans for Multiple Residents
Penalty
Summary
The facility failed to provide comprehensive activity assessments and care plans to meet the activity needs and preferences of three residents. For one resident with legal blindness, anxiety disorder, and another psychotic disorder, the MDS showed intact cognition with a BIMS score of 14 and a need for setup or supervision with mobility and transfers. However, the activity care plan entry stating "I prefer (Specify: to participate, little participation or no participation) in activity involvement" was not completed, and the quarterly/annual activity assessment form dated 12/3/25 was left blank and unedited. During the survey, this resident reported that there were no activities available except bingo and that they only participated in bingo to obtain snacks. No observations were made of this resident engaging in activities or receiving 1:1 activity interventions. A second resident with hemiplegia following cerebral infarction, morbid obesity, and major depressive disorder had an MDS BIMS score of 15 and required supervision or partial/moderate assistance for mobility and transfers. This resident’s quarterly/annual activity assessment dated 7/26/25 was also blank and unedited, although the resident was observed playing bingo on one occasion. A third resident with paralytic syndrome and acute respiratory failure with hypoxia, who had a BIMS score of 11 and was dependent for bed mobility and transfers, likewise had an activity assessment dated 8/29/25 that was unedited and not completed. During the investigation, no observations were made of this resident engaging in activities or receiving 1:1 activity interventions. The Activity Director/Social Service Designee and the MDS/Care Plan Coordinator both stated that activity and social service assessments and care plans should be completed on admission and updated quarterly, and the facility’s Activity Programs policy stated that an ongoing program of activities is designed to meet the needs of each resident, which was not carried out for these residents.
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