Health inspection·May 27, 2021

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 provide individualized activities to meet the interest and needs for 1 of 2 residents reviewed for activities of a total sample of 46 residents, (#80). Residents Affected - Few Findings: Resident #80 was admitted to the facility on [DATE] with diagnoses of Parkinson's Disease and generalized weakness. Review of the Minimum Data Set (MDS) admission assessment dated [DATE] revealed the resident had a Brief Interview for Mental Status score of 8 which indicated moderate cognitive impairment. Section F of the assessment Preferences for Customary Routine and Activities indicated it was very important for her to listen to music and to do her favorite activities. It was not very important to her to do things with groups of people or go outside to get fresh air when the weather was good. Resident #80 required extensive assistance from 2 staff for bed mobility and transfers and did not walk during the lookback period. She had unsteady balance, was only able to stabilize with assistance from staff and used a wheelchair for mobility. Review of resident #80's activity care plan initiated on 7/07/2020 revealed she had little to no involvement due to physical limitations. The goal was for the resident to express satisfaction with the type of activities and level of activity involvement. Interventions included explaining the importance of social interactions and encourage her to participate. The care plan directed staff to escort resident #80 to activity functions and provide room visits if she declined to attend small group activities. On 5/24/21 at 10:36 AM, resident #80 was lying in bed in a private room, staring through the window. The room was silent and there was no television or radio noted. She was alert, responded to her name only, but was not able to respond to simple questions or participate in conversation. There was a sign at the door indicating resident #80 was on contact isolation precautions. On 5/25/21 at 11:51 AM, resident #80 remained in bed seated in an upright position, again staring through the window. The room was still silent. On 5/26/21 at 10:58 AM, resident #80 was sitting up in bed with her eyes closed. On 5/26/21 at approximately 5:15 PM resident #80 remained alone in her room without any activities. On 5/26/21 at 5:37 PM, the Activities Director recalled resident #80 previously resided on the facility's Memory Care Unit. The Activities Director explained the resident was currently in a private room on the other unit as she had an infection. Review of the Record of One-To-One Activities form Page 1 of 2 106060 106060 05/27/2021 Life Care Center of Palm Bay 175 Villa Nueva Ave Palm Bay, FL 32907

F 0679 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few with the Activities Director revealed documentation that noted resident #80 watched television in her new room on the Harbor Side Unit on 5/23/21 and 5/25/21. The Activities Director was informed resident #80 did not have a television in her room. On 5/26/21 at 5:39 PM, the Activities Director entered resident #80's room and acknowledged there was no television or radio in the room. She explained the resident was placed in her new room on 5/21/21, and her television was not moved at that time. She said whenever a resident relocated to a different room, staff needed to ensure all items the resident enjoyed as activities were in the new room and accessible to the resident. The Activities Director said resident #80 enjoyed watching television and listening to music. On 5/27/21 at 1:14 PM, a telephone interview was conducted with resident #80's nephew. He was informed his aunt was placed in a private room without a television for 6 days. He said, I am taken aback that my aunt would just be in a room without television or radio all by herself. She enjoys listening to music. On 5/27/21 at 2:09 PM, the Activities Director stated activities were important to enhance the resident's quality of life. She explained documentation by activity staff dated 5/23/21 and 5/25/21 that reflected television watching activity was incorrect. On 5/27/31 at 3:23 PM, Certified Nursing Assistant (CNA) A stated she regularly cared for resident #80 and remembered she always wanted to be in her bed watching television. CNA A said, She did not want to do anything else. On 5/27/21 at 3:25 PM, CNA B stated the resident loved to watch television in her room. CNA B, recalled, when she came out of her room, she would sit in the Day Room and watch television. The facility policy and procedure Activity Evaluation, reviewed 5/18/2020 read, The facility must provide, based on comprehensive assessment and care plan and the preferences of each patient, an ongoing program to support patients in their choice of activities . The document indicated the facility would provide person-centered care related to identifying each resident's preferred activities. 106060 Page 2 of 2