Powerback Rehabilitation 1526 Lombard Street Philadelphia (March 2nd)

Determination was made following records review, interviews with residents and staff and observation, that the nursing home failed to provide for an ongoing program of meaningful activities designed to meet the individual interests and the physical, mental and psycho-social well-being of two of 24 residents reviewed. Findings included the following: Review of the nursing home’s policy, Recreation Policies and Procedures, last revised on October 1, 2002, indicated that the Recreation Department design programs which are meaningful and stimulating as well as consistent with the needs, preferences, and abilities of each resident. Clinical record review revealed an admission Minimum Data Set for Resident R55. This assessment also indicated that he was cognitively intact. Clinical record review revealed a Recreation Assessment, dated October 31, 2011, that indicated listening to classical music and participating in religious services were very important to him and that did so by television and newspapers. Continued clinical record review revealed a nursing note, dated January 3, 2012, indicating that Resident R55. This assessment also indicated that keeping up with the news was very important to him and that he did so by television and newspapers. Continued clinical record review revealed a nursing note, dated January 3, 2012, indicating that Resident R55. This assessment also indicated that keeping up with the news was very important to him and that he did so by television and newspapers.

Continued clinical record review revealed a nursing note, dated January 3, 2012 indicating that Resident R55 had difficulty hearing. Additional nursing notes during January 2012 (including January 3 at 12:10 p.m., January 4 at 3:26 p.m. January 5 at 11:49 p.m., January 6 at 2:34p.m.) indicated that Resident R55 watched television during the shift. Review of psychological consult, dated December 15, 2011, revealed that the resident was feeling bored. Review of psychological consult, dated December 15, 2011 revealed that this resident was feeling bored. Review of a psychological consult, dated January 12, 2012, revealed that the resident had indicated he had an interest in research and writing. A Recreation Quarterly Progress Note, dated January 9, 2012 indicated that the resident’s hearing was impaired, did not participate in one-to-one programs, that he spent a minimal amount of time in group activities, and that he was spending most of his time in his room watching television. A Social Services Assessment, dated January 13, 2012, indicated that he was feeling down and that he had a lifelong history of depression. A Care Plan Evaluation progress note, dated January 25, 2012, indicated that Resident R55 had been determined to require long-term care, that he was having difficulty adjusting to the long-term care, that he was having difficulty adjusting to the long term care environment, and that he was very depressed. Further clinical record review revealed a physician progress, dated February 14, 2012, note that Resident R55 has an undisclosed diagnosis. During an observation, at 12:20 p.m. on February 28, 2012, the resident was observed in his room in a lounge chair.