The report suggests the nursing home, which has spent much of the past few years on the state’s “watch list” of marginal homes, largely treats the infants, toddlers and children as if they were small adults.
An “initial activity assessment” done for Resident 2, for example, asked whether the 3-year-old was an “active voter” or a veteran. When offered choices, Resident 2’s activities sheet reportedly checked taking a shower, seeing family members and listening to music. Other choices included reading books, newspapers and magazines. The form was signed by the home’s activities director, who acknowledged to AHCA that she “floated” to the pediatric unit a couple of times each week, and “had no pediatric experience.”
“This form is not age or developmentally appropriate for this child,” AHCA wrote.
As to Resident 1, the teenager, a schedule said he was given “vision activities” — though the schedule didn’t provide a time, or define was a vision activity was, the record said. The schedule also listed the word “buttons,” but failed to explain that, as well. Before he was badly injured in a car accident, records say, Resident 1 was a high school honors student and soccer player. The boy’s chart said he was suffering from “decreased motivation.”
Resident 1’s activities chart also raised questions with the AHCA inspectors: Though the youth ate only through a feeding tube, the log said he liked having snacks between meals. And although the nursing home said he enjoyed having one-to-one interaction with staff, “there was no evidence of the 1:1 interactions with activity staff.”