Failure to Employ Qualified Activities Director
Penalty
No penalty information released
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 employ a qualified activities director for the period from October 2024 to December 2024. This deficiency was identified during a complaint survey, which included a review of staff rosters and staff interviews. The last activities director left in October 2024, and a new activities director was not hired until December 2024, leaving the position vacant for the entire month of November 2024. Interviews with facility staff, including the current activities director and a unit manager, confirmed the absence of a qualified activities director during this time frame. The administrator, who began employment in May 2025, was not aware of the deficiency until informed by the surveyor.