F0679

E

Failure to Provide Resident-Specific Activities on Memory Unit

Coffeyville, Kansas Survey Completed on 04-09-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide resident-specific activity programs for multiple residents with dementia or severe cognitive impairment on the memory unit. For several residents, including those with diagnoses of dementia and Alzheimer’s disease, the Minimum Data Set (MDS) assessments documented severe cognitive impairment, with Brief Interview for Mental Status (BIMS) scores of 99 or staff assessments indicating severe impairment. These assessments also documented that it was very important to the residents to listen to preferred music, participate in favorite activities and religious services, and go outside for fresh air when the weather was good. Despite these documented preferences, the Activity Care Area Assessments (CAAs) did not trigger for these residents, and their care plans lacked staff instructions regarding their preferred activities.

For each of the identified residents, the facility’s records showed minimal or no documented participation in activities over a one-month review period. Electronic Medical Record (EMR) review for the residents showed that each participated in only one documented activity, a music program on a single date, with no other activities recorded from early March through early April. Activity Assessments completed for these residents identified specific interests such as church services, parties, visiting with others, watching westerns or baseball on TV, listening to country music or other music, going for walks, being around animals, and going outside in good weather. However, these preferences were not reflected in individualized care plan instructions, and there was no documentation that these preferred activities were being provided on an ongoing basis.

Surveyor observations and staff interviews further demonstrated that scheduled activities on the memory unit were not carried out as planned. The posted Activity Calendar listed an "Afternoon Hand and Nail Spa" at a specified time, but at that time residents were observed resting in bed, sitting in recliners with eyes closed, sitting at the dining room table, or wandering the unit, with no hand and nail spa activity occurring. A CNA confirmed that the fingernail activity did not take place and that staff instead handed out snacks, and stated she did not know why the scheduled activity was not provided. Activity staff reported that unit staff were responsible for conducting activities on the memory unit, while CNAs and a nurse indicated that there were not many activities on the unit and that staff mainly ensured the TV was on or passed out snacks, which they considered “somewhat of an activity.” An administrative nurse stated that the activity staff planned the activities and that nurses on the memory unit were responsible for executing and documenting them, but the facility’s own policy required the Activity Department to provide an activity program that supports positive self-esteem, well-being, and satisfaction with the facility’s active lifestyle, which was not reflected in practice for these residents.

Title: Failure to Provide Resident-Specific Activities on Memory Unit

ShortSummary: Multiple residents with dementia and severe cognitive impairment did not receive individualized activity programming despite documented preferences for music, religious services, social events, outdoor time, and specific leisure interests. MDS assessments and activity assessments identified what was very important to these residents, but CAAs did not trigger, care plans lacked instructions for preferred activities, and EMR review showed only a single documented group music activity over a month. A scheduled hand and nail spa activity on the memory unit did not occur as posted; instead, residents were observed resting, sitting, or wandering without the planned activity, while staff reported that there were few activities on the unit and that turning on the TV or passing out snacks was treated as activity. This practice conflicted with the facility’s policy that the Activity Department provide a program supporting residents’ self-esteem, well-being, and satisfaction with an active lifestyle.