Based on record review and interview, the facility failed to ensure the Activities Program was directed by a qualified professional who met required training and certification standards prior to assuming the role of Activities Director. This failure had the potential to affect 69 of 69 residents who relied on the activities program to meet their psychosocial, emotional, and social needs. Finding includes: The employee records were reviewed on 4/1/26. The Activity Director was hired on 10/20/25. There was a certificate, dated 12/31/25, for Hospitality Management Studies. There was no indication she had completed the Activities Director course. …
F680 citations in Indiana
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
Indiana cites F680 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F680 findings written in Indiana, 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 observation, interview, and record review, the facility failed to ensure the activities program was directed by a qualified professional for 103 of 103 residents in the facility. Findings include: The Employee Records form was provided by the ED (Executive Director) on 8/5/22 at 8:37 a.m. They indicated the Interim AD (Activity Director) began working at the facility on 2/14/22. An interview was conducted with the Interim AD on 8/8/22 at 12:08 p.m. He indicated he just started in the position on 8/2/22. He was an Administrator in Training and had never been an AD prior to last week. Someone else was filling in prior, but was unsure whom. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 0.38× |
| 2025 | 0.06% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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