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F0680
D

Uncertified Activity Director Led Activities Program

Lynchburg, Virginia Survey Completed on 05-01-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that the activities program was directed by a certified Activity Director for all 114 residents. During interviews, the Activity Director confirmed she was not certified and stated she was unaware of the certification requirement when she accepted the position two years prior. She reported that previous administrators had not discussed the need for certification, but the current administrator had informed her of the requirement and encouraged her to obtain certification. The Activity Director indicated she had enrolled in the necessary class, received the course materials, and completed the required essay, but had not yet submitted it. The Administrator confirmed that the Activity Director was not certified but had been enrolled in the certification class. Documentation of the enrollment was provided. A review of the job description for the Activities Director indicated that appropriate training and/or certification was highly advantageous, but did not specify it as a strict requirement. No further information was provided prior to the survey exit.

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