Failure to Provide Individualized Activities Based on Resident Preferences
Penalty
Summary
The deficiency involves the facility’s failure to provide an ongoing program of individualized activities based on a resident’s documented interests and care plan. One resident was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left dominant side, essential hypertension, unspecified depression, and type 1 DM with hyperglycemia. The admission MDS documented the resident’s personal activity preferences, including listening to music, pet visits, group activities, and religious services. A care plan revision later included these personal preferences, but staff did not follow the care plan to provide these preferred activities. Record review showed no Recreation Participation Record documenting that the resident received pet visits, music, or religious services, and there were no progress notes indicating individual participation in activities. During interview, the AD stated the resident does not speak and is now in isolation, and that sensory items would be offered. The AD reported that his expectation is for activity assistants to log participation and progress notes and provide group and 1:1 activities. The RAD stated the resident was placed on 1:1 programs upon admission and that activities staff were now focusing on 1:1 programs, but also acknowledged that the activities program was not very solid during a several-month period, and that the expectation was for staff to conduct 1:1 activity programs with this resident.
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