Based on interview and review of facility documentation as indicated, it was determined that the facility failed to ensure that the activities program was directed by a qualified professional from 9/18/21 to 6/16/22, approximately nine (9) months. Findings include: 6/14/22 2:00 PM - During an interview with E23 (Director of Recreation - DOR), E23 stated she began her employment as the DOR on 11/2/21 and until approximately one month ago, a Regional DOR was providing guidance to E23, however, E23 confirmed that she was responsible for overseeing the facility's activity program, which included completing each resident's activity preferences in various MDS assessments, conducting quarterly activity participation reviews for each resident, managing the activity program calendars, writing… …
F680 citations in Delaware
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F680 more often than its own record predicts
3.00 times the share F680 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F680.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F680 findings written in Delaware, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interviews and record review, the facility failed to ensure that a qualified activity professional was hired. This has the potential to affect the 96 residents' quality of life who currently reside in the facility. Findings include: Review of an undated facility document titled Activities Director Job Description indicated . The activities program must be directed by a qualified professional who is a qualified therapeutic recreation specialist or an activities professional who .Is licensed or registered, if applicable, by the state in which practicing.Eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after October l, 1990; or o Has 2 years of experience in a social or recreational program… …
What else Delaware surveyors cite →
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