Health inspection·August 5, 2024

F 0679 Provide activities to meet all resident's needs. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to ensure to follow their policy and procedure (P&P) for activity assessments and preferred activities for one of two sample resident (Resident 1). This failure had the potential to affect to maintain and improve health, functional, cognitive, and emotional well-being for Resident 1. Residents Affected - Few Findings: Record review of Resident 1's face sheet (FS: a document that gives a resident's information at a quick glance) indicated Resident 1 was admitted to the facility on [DATE]. Review of Resident 1's FS indicated diagnoses included schizoid personality disorder (a condition in which people avoid social activities and interacting with others), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest in daily activities), anxiety (excessive, and persistent worry and fear about situations) and cerebral infarction (disrupted blood flow to brain). Review of Resident 1's assessments for activities-quarterly/annual indicated there were no assessments for activities for four quarters in a row. Last activities quarterly assessment was completed on 6/25/2023. Review of this assessment for Resident 1's preferences and participation level with activities indicated, resident sometimes sits in a chair outside his room and converse with staff and other residents. Review of Resident 1's activity notes for June 2024 and July 2024 indicated there was no evidence of documentation for preferred activities were provided to Resident 1. During multiple observations for Resident 1 on 7/5/2024 between 12:05 p.m., to 3:30 pm., Resident 1 observed sitting on bed, facing ceiling and no inside room or outdoor activities provided to Resident 1. During an interview with Resident 1 on 7/5/2024 at 1:19 pm, Resident 1 stated I like my activity to sit outside and get sunlight in the patio. Resident 1 also stated activity staff rarely offering activities to Resident 1. During an interview with certified nursing assistant A (CNA A) on 7/5/2024 at 1:28 pm., CNA A stated Resident 1 likes to sit outside in patio and talks to other residents. CNA A also stated activity staff were not taking Resident 1 out to patio. During an interview with license vocational nurse B (LVN B) on 7/5/2024 at 1:55 pm., LVN B stated Resident 1's favorite activity of sitting outside in the patio was not happening as it should be. LVN Page 1 of 2 055356 055356 08/05/2024 Oceanview Post Acute 200 Lighthouse Avenue Pacific Grove, CA 93950

F 0679 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few B also stated activity staff should have been provided to Resident 1 at least once a week when weather permits. During a concurrent interview and record review on 7/5/2024 at 2:05 pm., with director of nursing (DON), Resident 1's Activities-Quarterly/Annual, assessments and activity notes were reviewed. DON acknowledged there were no activities quarterly/annual assessments for four quarters since 6/25/2023 for Resident 1. DON also confirmed Resident 1' preferred activity of sitting outside patio was not happening on routine basis and there was no documentation for 1:1 room activities for Resident 1. DON stated currently there were no group activities, only 1:1 in room activity for all residents due to Covid-19 (contagious viral infection) outbreak (sudden increase) in the facility. DON also stated activity assessments should have been completed every quarter. DON further stated activity staff should have completed activities assessment every quarter and Resident 1's preferred activities should have been provided on routine basis. During a review of facility's P&P titled, Activity Evaluation, revised June 2018, the P&P indicated, The resident's activity evaluation is conducted by Activity Department personnel, in conjunction with other staff who evaluate related factors such as functional level, cognition and medical conditions that may affect activities participation. The completed activity evaluation is part of the resident's medical record and is updated as necessary, but at least quarterly. The activity evaluation is used to develop an individual activities care plan that will allow the resident to participate in activities of his/her choice and interest. 055356 Page 2 of 2