Westmark House

8.515.85.C SUPPORTIVE LIVING PROGRAM INCLUSIONS 1. SLP services consist of structured services designed to provide: a. Assessment.Based on record review, and interview, the facility (residence) failed to provide an assessment whenever there was a significant change in physical, cognitive, or behavioral needs, affecting three of three sample residents (#1-#3) who experienced a change in condition. 1. References and Residence Policiesa. Chapter VII regulations governing assisted living residences, part 12.7, requires that the comprehensive assessment shall include all the following items:(B) Information regarding the resident' s overall health and physical functioning ability;(E) Current diagnoses and any known or anticipated need or impact related to the diagnoses;(J) History and circumstances of recent falls and any known approaches to prevent future falls;(L) Types of physical, mental, and social support required.b. The residence' s undated residence agreement reads in part: "(the residence) will subsequently provide you with additional resident assessments at least annually thereafter and upon any material changes to your health condition."2. Resident #1 was admitted to the residence on 4/11/22, with a diagnosis of intellectual disability. The Emergency Data Form, updated 6/7/23, read: "Behavior Management: no restrictions on social or recreational activit.. 8.515.85.C SUPPORTIVE LIVING PROGRAM INCLUSIONS 1. SLP services consist of structured services designed to provide: d. Independent Living Skills Training in a group or individualized setting to support: iii. Other skills necessary to support maximum independence, such as financial management, household maintenance, recreational activities and outings, and other skills related to fostering independence;Based on observation, record review, and interview, the facility (residence) failed to provide participants (residents) with social and recreational engagement opportunities both within and outside the facility, affecting eight current residents. Findings include: 1. Residence PolicyThe residence' s undated Resident Agreement read in part: "(the residence) will assist residents in planning social and recreational activities, both at, and away from, the Home. (The residence) will also provide a monthly meeting with other residents of the Home and staff to determine activities of interest to you and others within the Home."2. ObservationOn 11/20/23, between approximately 7:00 a.m. and 1:45 p.m., residents watched television in their rooms or the common areas or smoked outside. The staff did not offer any structured engagement activities. 3. Record ReviewA posted Activity Calendar for November 2023 read:On 11/5 and 11/29, the residence scheduled a yoga class... A recertification supportive living program survey was completed on 11/20/23. Deficiencies were cited.