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F0680
F

Activity Director Lacks Required Qualifications

Royal Oak, Michigan Survey Completed on 07-25-2025

Penalty

7 days payment denial
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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 Activity Director met the minimum qualifications required for the position, affecting all residents. During a review of employee documentation, it was found that the Activity Director, who was hired on 7/31/24, did not possess a license or certification as required. The Administrator confirmed that there was no license or certification on file for the Activity Director and that the individual had previously worked only as an activity assistant before assuming the director role. No additional work experience was provided for the past five years. Further review of the facility's job description for the Activity Director position indicated that the role requires either a relevant license or registration, two years of experience in a social or recreational program (with at least one year in a patient activities program in a healthcare setting), qualification as an Occupational Therapist or Occupational Therapy Assistant, or completion of an approved training course. The Activity Director did not meet any of these minimum qualification standards, as confirmed by the Administrator and the documentation provided.

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