Unqualified Staff Directing Activities Program
Penalty
Summary
The facility failed to ensure that its activities program was directed by a qualified professional, as required by both facility policy and regulatory standards. Review of the employee roster showed that the current Activity Director, Staff M, had been employed since December 2024 but did not possess the necessary qualifications for the position at the time of the survey. During interviews, Staff M confirmed he was serving as the activities director without any formal qualifications, though he was enrolled in classes to obtain certification. The Nursing Home Administrator acknowledged awareness of the requirement for a licensed, qualified professional to oversee the activities program and confirmed that Staff M was not yet certified. Facility policy also specifies that the activities program must be under the direct supervision of a qualified professional, which was not the case at the time of the survey.