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F0680
E

Unqualified Activity Director Leads Activities Program

Granbury, Texas Survey Completed on 09-18-2025

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 qualified professional, as required by state regulations. Record review showed that the activity director (AD), hired on July 17, 2024, did not have evidence of certification or training as a qualified therapeutic recreation specialist or as an activities professional meeting state licensing requirements. The AD's job description required successful completion of a state-approved and certified course in patient activities within nine months of employment, but there was no documentation that this had been achieved. Interviews revealed that the AD experienced difficulties enrolling in the required course due to financial and time constraints. The administrator (ADMN) acknowledged awareness of the AD's lack of certification at the time of hire and stated that the AD was responsible for completing the necessary courses. The ADMN further explained that financial issues delayed the AD's enrollment, and it took additional time for the facility's corporate organization to agree to pay for the course. At the time of the survey, the AD had not yet received the required training or certification.

See complete original report
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