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F0680
E

Unqualified Activity Director Leading the Activities Program

San Angelo, Texas Survey Completed on 03-05-2026

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 its activities program was directed by a qualified professional, as the current Activity Director (AD) did not meet the required qualifications. During an interview, the AD reported she had been working in the role since April 2025 and was not registered for an activities director course. She stated that a previous administration had told her they would assist her with getting registered for an AD course, but after that administration left, she did not get enrolled. Record review confirmed the AD was neither enrolled in an activity course nor certified as an AD. The facility’s job description for the Activity Director, dated 2014, specified that the position required a high school graduate with certification where required by state regulations and that the individual must be a certified Activity Director. The report stated this failure could place residents at risk for reduced quality of life due to lack of individualized activities that matched their skills, abilities, and interests/preferences. The Administrator acknowledged in an interview that the AD was not yet enrolled in the required AD course and confirmed they were working on getting her enrolled, further supporting that the AD did not currently meet the stated qualification requirements.

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