Failure to Adjust Activities Program After Resident’s Significant Change in Condition
Summary
The deficiency involves the facility’s failure to provide an activities program that met the interests and needs of a resident who experienced a significant change in condition and activity participation. The resident, who was cognitively intact with a BIMS score of 15 and served as president of the Resident Council, sustained fractures to the left distal femur and right distal femur/knee area after a fall and was hospitalized. Diagnostic imaging showed an anterior apex angulated, impacted distal femur diametaphyseal fracture on the left and an impacted, comminuted anterior apex angulated fracture of the distal fifth metaphysis of the right knee, with osteopenia noted. After hospitalization, the resident returned to the facility and had an MDS with a significant change assessment, with Section F indicating that it was important for her to do things with groups of people, participate in favorite activities, and attend church services. Record review showed that prior to the fall and fractures, the resident participated in out-of-room activities, including Resident Council, food committee, parties, and socials. The activity care plan, originally created in 2020 and revised multiple times through early 2025, documented numerous preferences and important activities for the resident, such as in-room visits, participation in food committee, church, singing, cooking, gardening, going outside in good weather, pet visits, listening to religious and other music, watching TV, reading, and engaging in religious services and voting. The care plan also noted that it was important for her to engage in her favorite activities and to have opportunities to make choices related to meaningful activities. However, there were no new interventions added or changes made to the activity care plan after her significant change in condition and return from the hospital. Activity participation records from the beginning of the year through the time of survey showed that since her readmission from the hospital, the resident had no out-of-room activity participation and only two documented one-to-one visits, both on the same day. During interview, the resident reported that she could no longer stand, pivot, or get into her wheelchair, and that she was now unable to attend Resident Council meetings, church, or be around people as she had before. She expressed distress about missing family gatherings she had been working toward attending and stated that activity staff did not visit very often and that she could not go out to the groups she liked. The Director of Recreation confirmed that the resident had not attended group activities since returning from the hospital due to being non–weight bearing, that anything done with her was now in-room, and that social visits were not consistently documented. The Administrator and Director of Recreation acknowledged that documentation showed only two one-to-one visits and no updated interventions on the care plan since before the significant change, leading to the finding that the facility failed to provide a program of activities to meet this resident’s needs and interests after her change in condition.
Penalty
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Below are regulatory guidelines relevant to this citation:
Failure to Provide Resident-Centered Activities Three residents did not receive an ongoing activities program matched to their needs and preferences. A resident with severe visual impairment was bored on weekends and could not participate in bingo because he was not given a large-print card. Another resident said she was never asked about activity preferences, did not get an activity calendar until later, and was not offered in-room activities. A third resident with significant neurologic and physical impairments said preferred activities were unavailable and he was bored; the acting AD reported activities often started late and many residents could not participate.
Failure to provide activities for a resident with Parkinson’s disease, cerebrovascular disease, moderate cognitive impairment, and dependence in ADLs/transfers. The resident was repeatedly observed in bed in a quiet room without stimulation while music, art, and worship activities were available, and records showed only limited 1:1 visits with no documentation of activity attendance or refusal. The AD noted the resident liked music and art and had not been out of the room for an activity since March.
Failure to Provide Individualized Activities: A resident with anxiety, depression, and weakness was cognitively intact but said they could not attend group activities because of leg problems and wanted more in-room activities. The resident mostly stayed in bed watching TV, and staff documentation showed only limited room visits with no consistent activity documentation despite a care plan goal for participation two to three times per week.
Failure to provide individualized activities for a resident with dementia. The resident's representative said the resident had not received activities and needed to stay busy, while survey observations showed the resident wandering in the halls and sitting in the lobby without participating in facility activities. The DON reported there was no record of activity participation, and an activity staff member said she only talked with the resident occasionally and was the only activity staff member, so she did not have time.
A resident with dementia, severe cognitive impairment, depression, visual and hearing impairments, and other comorbidities had documented preferences on the MDS for reading materials, music, and being around animals, but the activity assessment was completed only with the resident, not family, and concluded the resident could not identify preferred activities. The care plan inconsistently described the resident as sociable with interests in arts and crafts, bingo, and music, yet noted no current activities of interest, and a later activity participation review was left incomplete. Activity records listed daily relaxation and media-based activities and one-on-one reading, but staff later clarified that relaxation meant the resident was simply resting in bed and that recorded one-on-one sessions did not actually occur because the resident was asleep. Surveyors repeatedly observed the resident awake in a dark room with no television, music, reading materials, or other entertainment, and staff were unable to state the resident’s specific activity preferences, demonstrating a failure to adequately assess and implement individualized activity services.
A resident with stroke, vascular dementia, and kidney failure was non-verbal and unable to make needs known, yet the facility did not develop or implement an individualized activity plan. The care plan had incomplete activity focus, goals, and interventions, and activity flow sheets showed the resident was not offered or participated in any individual or group activities. Observations showed the resident lying in bed awake looking at the ceiling or wall, with the TV in the room not on during the observations.
Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide an ongoing activities program that supported residents’ choices of facility-sponsored group activities, individual activities, and independent activities for three residents reviewed for activities. The deficiency involved Resident #27, Resident #73, and Resident #85, and the report states that the failure could place residents at risk for boredom, depression, and diminished quality of life. Resident #27 was an older male with diagnoses including blindness in both eyes and a BIMS score of 6, indicating severe cognitive impairment. His MDS reflected that vision was highly impaired and that books, newspapers, and magazines were very important to him. His care plan addressed visual impairment and legal blindness, but there was no activities focus. During interview, he said he got bored on weekends because there were not enough activities, especially activities that accommodated blindness. He also said he was taken to bingo but was not given a large-print bingo card, so he could not participate. Resident #73 was a female with diagnoses including a displaced comminuted fracture of the shaft of the right femur, atrial fibrillation, and morbid obesity, and her BIMS score was 15. Her baseline care plan had no activities focus. She stated she was not asked about activity preferences on admission, did not receive an activity calendar until later, and no one had come to her room to offer activities such as coloring materials or puzzles. Resident #85 was a male with diagnoses including central cord syndrome at C3, occlusion and stenosis of an unspecified middle cerebral artery, and a cerebral aneurysm, with a BIMS score of 9. His care plan noted dependence on staff for activities and cognitive stimulation/social interaction related to physical limitations. He said the facility had asked what activities he liked, but the toss game they used to play outside could not be located, popcorn was no longer available during movies, and he was currently bored. The acting AD stated activities did not always start on time, there was not much resident involvement because many residents lacked physical ability or stamina, and she had no training in being an activities director or direction from the facility regarding activities.
Failure to Provide Activities for a Resident with Cognitive and Physical Impairment
Penalty
Summary
The facility failed to provide activities designed to meet the interests of and support the physical, mental, and psychosocial well-being of Resident 22. The resident’s diagnoses included Parkinson’s disease and cerebrovascular disease. The Quarterly MDS dated 2/10/26 indicated moderate cognitive impairment and dependence in ADLs and transfers. The Activities Care Plan, revised 4/27/26, directed staff to invite the resident to groups of interest such as worship, music events, social groups, and cognitive groups. During random observations, Resident 22 was repeatedly found lying in bed in a quiet room without television, music, or other stimulation on multiple dates and times. On 5/1/26, while a live music activity was occurring in the main dining room, the resident remained awake in bed in his room. The May 2026 Activities Calendar listed music, art, and worship activities, but the Activities Participation 30-day documentation showed only three one-on-one visits per week, one friendly visit, and one people watching entry, with no documentation that the resident attended or refused activities. The Activities Director stated the resident liked music and art, had previously participated with assistance, had not been out of his room for an activity since March, and that the only activity interaction he was receiving was three 20-30 minute one-on-one visits per week.
Failure to Provide Individualized Activities
Penalty
Summary
The facility failed to provide individualized activities for Resident 5, who was admitted with diagnoses including anxiety disorder, depression, and weakness. The admission MDS dated 01/14/2026 showed the resident was cognitively intact. During interviews on 05/03/2026 and 05/06/2026, Resident 5 stated they could not attend in-person activities because of their legs, wanted more activities to occupy them, mostly stayed in bed watching TV, and did not remember the last time activities staff visited to offer activities. The resident also stated activities staff would need to offer something they were able to do because they had difficulty doing some activities. The activities care plan dated 12/26/2026 showed a goal for Resident 5 to participate in activities two to three times per week. Progress notes documented one visit on 12/22/2026 to provide a welcome packet and encourage participation in daily activities, but no further activity documentation was found in the progress notes. Staff H stated room visits should include puzzles, arts and crafts, visiting, and chatting, and that documentation was placed in tasks, but the task record showed no documentation of activities for the past 30 days. Staff J stated paper documentation existed for room visits and that Resident 5 was on a list for room visits every Monday and Wednesday, while the room visit documentation showed only four visits on 01/26/2026, 02/06/2026, 03/10/2026, and 04/08/2026.
Failure to Provide Individualized Activities
Penalty
Summary
The facility failed to ensure individual activities of preference were provided to a resident with Alzheimer's disease who was identified in the care plan as being at risk for depression and impaired social interaction and who was expected to participate in social situations and activities of choice. The resident's representative stated the resident had not received activities at the facility and needed to stay busy because of dementia, and reported that attempts to speak with activity staff about appropriate activities were unsuccessful because staff were always on their way somewhere else. Survey observations showed the resident wandering in the halls and sitting in the front lobby, and the resident was not observed participating in facility activities. The DON stated there was no record of activity participation for the resident, and an activity staff member stated she only sat and talked with the resident once in a while and was the only activity staff member, so she did not have time. The facility policy also stated that special considerations would be made for developing meaningful activities for residents with dementia and/or special needs.
Failure to Adequately Assess and Implement a Resident’s Activity Preferences
Penalty
Summary
The deficiency involves the facility’s failure to adequately assess and honor a resident’s activity preferences and to meet the resident’s identified needs for meaningful activities. The resident had dementia, severe cognitive impairment with a BIMS score of six, depression, age-related macular degeneration, osteoarthritis, and sensorineural hearing loss. The comprehensive MDS assessment documented that it was somewhat important to the resident to have books, newspapers, and magazines to read, to listen to music, and to be around animals such as pets. Despite this, the activity participation assessment dated 10/06/25 noted the resident was hard of hearing and hard to communicate with, was completed only with the resident and not the family, and concluded the resident was unable to identify preferred activities. The plan of care dated 11/06/25 described the resident as sociable, liking to participate in various activities, and willing to interact with others and participate in activities related to their interests as their condition allowed. It also stated the resident had no current activities of interest and was unable to pursue interests due to physical and/or cognitive condition, while listing arts and crafts, bingo, and music as important activities. Interventions included discussing the activity calendar, encouraging rest so the resident could attend preferred activities, and inviting the resident to music-related and scheduled activities. However, the subsequent activity participation review dated 12/15/25 was not completed, and the Activities Director reported trying to identify the resident’s preferred activities but could not refer to any documentation of this, and thought she had spoken to the family but acknowledged it might not be documented. Activity participation records from 04/01/26 to 04/19/26 showed daily participation in relaxation, television/radio/movies, and news events, and documented one-on-one and reading activities on two dates, although the Activities Assistant later stated the resident had been asleep during those one-on-one sessions and that relaxation meant the resident was simply resting in bed. Multiple observations on 04/20/26 and 04/21/26 found the resident awake in a dark room with no television, music, reading materials, or other entertainment, and an empty bedside table. A CNA confirmed the resident was sitting in the dark without any form of entertainment and was unsure of the resident’s music or television preferences. The RAI User’s Manual guidance cited in the report states that activity preference information should be obtained from the resident or, if not possible, from family or others, and used to create an individualized plan based on the resident’s preferences, underscoring that the facility did not adequately assess and implement the resident’s activity preferences as required.
Incomplete individualized activity plan and no documented activity participation
Penalty
Summary
Provide activities to meet all resident's needs. Based on observation, interview, and record review, the facility failed to develop and implement an individualized activity plan for Resident 61, who was admitted with diagnoses of stroke, vascular dementia, and kidney failure and was non-verbal and unable to make needs known. The resident's care plan had incomplete activity focus, goals, and intervention areas. Observations on 04/20/2026, 04/21/2026, and 04/22/2026 showed the resident lying in bed awake looking at the ceiling or wall, with a television present in the room but not observed on during any of the observations. Review of the March and April 2026 activity flow sheets showed the resident was not offered and did not participate in any individual or group activities. During interview, the Activity Director reviewed the record and stated staff should have contacted the resident's representative to assist with the activity care plan and that the resident had not been offered any independent or group activities, which did not meet expectations.
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