F0679

E

Failure to Provide Varied, Resident-Centered Activity Program

Royal Oak, Michigan Survey Completed on 03-10-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to implement and maintain a facility-wide activity and recreation program that reflected varied interests and resident preferences, and that accounted for residents’ cognitive and physical abilities. Surveyors observed that the large activity calendar posted outside the dining room was outdated, still showing February activities well into March, and later only partially updated through early March. During multiple observations in the dining room, where most activities were supposed to occur, residents were largely seated in front of a television, with several sleeping and no staff engagement or evidence of structured activities taking place, including a scheduled Shamrock Craft that did not occur.

Interviews with residents revealed dissatisfaction and boredom with the activity program. One resident reported that on certain days the only activity was watching whatever the activity aide put on the TV and that there had been no outings away from the building for years, despite resident interest in a shopping trip. Another resident stated that Sundays had only spiritual activities and sometimes no activities at all, and that a previously planned karaoke event never happened. During a resident council meeting, residents complained that when they were supposed to be watching a movie, someone would turn on loud music or staff would turn the movie off before it finished. The facility had no resident council minutes for the prior three months, having self-identified concerns with resident council.

Record review and staff interviews further demonstrated inadequate individualization and follow-through. One resident reported not participating in activities because staff never came to ask them, but said they would participate if asked and assisted, expressing interest in cards, current events, nail care, and getting out of bed. That resident’s electronic activity log for a 30‑day period showed no documented activities, and a paper log for the prior month showed only a few “Room Visits by Staff” early in the month with no alternate or subsequent activities documented. Review of the February and March activity calendars showed repetitive, routine programming with the same activities at the same times on specific days, only faith-based activities on Sundays ending in the early afternoon, and no activities scheduled after mid-afternoon on several days. The administrator acknowledged that the activity program did not appear to engage residents, and the corporate activity coordinator confirmed limited oversight, lack of alternative activities when scheduled ones were not provided, and that Sunday activities were exclusively faith-based with at least one Sunday having no activities conducted.