Complaint·January 7, 2025

Allegation: Facility staff do not offer engaging activities for residents The department conducted an interview with Administrator (A1) who stated that the facility offers activities and have a schedule of activities; however due the R1-R5's physical and mental capability it is difficult to do activities other than taking them for walks when weather permits and watching their favorite program/movies on TV. A1 states that they make sure relaxing music is played throughout the facility. Additionally, A1 states that 3 of 5 residents prefer to be on phone playing games, reading news papers and/or watching TV. Lastly, A1 states that she would love to do more but it’s not feasible right now because of their physical and mental capacity and facility takes into account their preferences. The department conducted interviews with Staff 1-Staff 3 (S1-S3), and asked the following questions: Do you have activities for the residents? What type of activities do you have? Do you the residents participate in the planned activities? Do you encourage participation? and Do the Residents express the type of activity they are interested in? 3 out of 3 staff stated that they do have activities for the resident but most of the residents are not alert or non-responsive and the ones who are responsive preferred to watch TV or stay in their rooms on phone or tablet. 3 out of 3 staff that they encourage residents to go on walks, go sit outside. 2 out of 3 staff state that they celebrate resident birthdays with parties and encourage participation. The department conducted interview with Witness 1 (W1) who stated that due to 1 out of 5 resident's condition, it become uncomfortable for her to do activities, so she mostly stays in room and watch TV. Witness 1 says that she has observed staff engaging with this resident and having her come out of her room and sit at the table. Page 2 of 3 The department conducted interviews with R2 and R3. 1 out of the 2 stated that they prefer to be in their room watching TV and/or being on the phone. 1 out of 2 stated they prefer reading as an activity. 2 out of 2 state that they are offered activities by the staff. Interview attempts were made for R1, R4, and R5 however due to their cognitive level they were unable to answer questions in a meaningful way. Additionally, there were not alert enough to answer the departments questions The department reviewed and obtained the following documents: copy of Schedule of Activities which shows ample activities offered to the residents. resident roster, staff roster, Appraisal/Needs and Services plans for (R1-R5), outlining their functioning level, likes and dislikes, Physicians reports for (R1-R5), provided information on physical ability and diagnoses. Nursing notes (dated 10/10/24) for 1 of 5 residents requiring nursing services. The department made the following observations: R1-R5 are between the ages of 78 and 98, all needing assistance with ambulating, they require the use of a walker or wheel chair. The department observed that R1-R5 were well groomed and their rooms were clean and sanitary, 2 of the 5 resident were siting in chairs in living room listening to music while nodding/napping. The department also noticed various board games on a table near the entrance of facility. During the visit, the department observed outside agency staff (LVN and Home health) tend to 2 of the 5 residents in the home. Based on the information provided, observations made, interviews conducted, and analysis of service records, department staff found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies were cited. Exit interview was conducted. A copy of this report was provided to the Administrator. Page 3 of 3