Health inspection·December 18, 2024

F 0679 Provide activities to meet all resident's needs. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure 12 of 28 residents (12 residents) in the dining room were encouraged to engage in activities of their choice and/or encouraged to participate in the activity program. Residents Affected - Some This failure had the potential to negatively impact the residents' physical, mental, and psychosocial well-being. Findings: During an observation in the dining room on 12/18/24 at 11:03 am, the Activity Director (AD) was exercising with the residents. The AD was standing in the middle of the dining room and was facing the table located next to the right wall of the dining room. There were 15 residents who faced the AD while doing exercises. The 12 residents sitting behind the AD were just sitting and looking around, and some residents were sleeping in their wheelchair. No one encouraged the 12 residents behind the AD to participate in the exercise program and/or encouraged them to engage in any activity of their choice. One resident was getting a haircut in the right corner of the dining room next to the entrance to the dining room. During an observation in the dining room on 12/18/24 at 11:15 am, Activity Assistant (AA) 2 was exercising with 15 residents who faced AA 2. There were 12 residents sitting behind AA 2 looking around, and some residents were sleeping in their wheelchair. No one encouraged these 12 residents who were sitting behind AA 2 to participate in the exercise program and/or encouraged them to engage in any activity of their choice. AA 1 was in the dining room, looking over the haircut schedule with the AD. During an interview on 12/18/24 at 11:23 am with AA 1, AA 1 stated Activity Assistants must interact with the residents to stimulate and entertain the residents. AA 1 stated the Activity Assistants were also supposed to monitor and assist the residents as needed to prevent falls. During an interview on 12/18/24 at 11:32 am with AA 2, AA 2 stated Activity Assistants were supposed to talk to the residents and perform activities with the residents. During an interview on 12/18/24 at 11:40 am with the AD, the AD stated the activity department tried to meet the residents' need. The AD stated some residents wants to color, play games, and/or get hand massages. The AD stated activity staff must encourage residents to participate in activities and wake the residents up when the residents fall asleep in the dining room during an activity program. During an interview on 12/18/24 at 12:19 pm with the AD, the AD stated it was important to Page 1 of 2 555374 555374 12/18/2024 Mayflower Care Center 5043 Peck Rd El Monte, CA 91732

F 0679 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some encourage the residents to get involved in activities to ensure the residents maintain whatever ability they have and to enhance their quality of life. During an interview on 12/18/24 at 1:36 pm with the Director of Nursing (DON), the DON stated it was important to provide activities because we (facility) want to keep them (residents) engaged and keep them socialized with other residents to keep their minds thinking. During a review of the facility's policy and procedure (P&P) titled, Daily Programming, undated, the P&P indicated, It is the policy of this facility to provide meaningful activities appropriate to the residents' cognitive, physical, and social abilities on a regular basis, to enhance their quality of life .The Activity Supervisor/Staff will .enhance each resident's physical and mental status and promote each resident's self-respect by providing activities that allow for self-expression, personal responsibility, and choice . 555374 Page 2 of 2