F0679

E

Failure to Provide Individualized, Implemented Activity Program for Cognitively Intact Residents

Berkeley, California Survey Completed on 03-05-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide activities designed to meet the interests and the physical, mental, and psychosocial well-being of four cognitively intact residents. One resident with major depressive disorder and a BIMS score of 14 reported wanting to transfer due to boredom and lack of activities, stating it felt as though residents were sent there to die. This resident’s MDS activity preference interview documented that listening to music, staying informed, and doing favorite activities were important, and that going outside in good weather and participating in religious activities were somewhat important, yet these preferences were not reflected in meaningful, individualized activities.

Another resident with major depressive disorder, delirium, and unspecified dementia, and a BIMS score of 13, had documented preferences for listening to preferred music, staying updated on news, engaging in favorite activities, and spending time outdoors. The Administrator acknowledged that this resident’s chart did not contain an activity care plan or activity staff progress notes, and also stated the resident preferred independence and enjoyed watching cars in the parking lot. This resident reported that the posted activity calendar was not followed, that activities were advertised but not held, and expressed interest in performing music for other residents, but noted there were no opportunities to do so. The CNA/Activity Staff later stated she did not know this resident loved to play violin and piano.

Surveyors observed that a baking activity scheduled on the posted calendar for a Wednesday at 2 p.m. did not occur; only a few residents in wheelchairs were present in the activity room, and the activity staff had already left. One resident stated they did not bake that day, that activity staff had left, and that CNAs only helped with coffee before dinner, also noting residents did not go out to the patio even when the weather was good. Another resident with a BIMS score of 15, whose MDS showed preferences for music, news, group activities, favorite hobbies, outdoor time, and religious services, reported going outside for fresh air only when a friend visited, stating staff were usually too busy to assist residents to go outside. The DON confirmed there was no activity care plan or progress notes in this resident’s record. CNA staff reported that on weekends residents sat in the activity room without activities because no activity staff were present, and that CNAs monitored them from outside the room to prevent falls. The facility’s undated Activity Director policy stated that the facility would provide ongoing activities based on assessments and care plans, with posted calendars and documentation of participation and responses, which was not carried out as described in practice for these residents.