Based on interview and record review the facility failed to ensure a qualified activity professional was hired to direct the activities program and to meet the activity needs of residents. This has the potential to affect 4 of 18 sampled residents (R14, R33, R13, and R37) and 1 supplemental resident (R44). The facility's Activities Director J (AD) is not a qualified therapeutic recreation specialist and does not meet the qualifications required to direct the activities program. AD J indicated she has received minimal training on care planning, assessing residents, and designing a program to meet residents' activity needs. Evidenced by: Based on observations throughout the survey, activities had not been observed on the dementia care unit. …
F680 citations in Wisconsin
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 — 2024
Wisconsin cites F680 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin in 2024, 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 Wisconsin surveyors wrote
F680 findings written in Wisconsin, 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 interview and record review, the facility failed to ensure a qualified activity professional was hired to direct the activities program and to meet the activity needs of residents. This had the potential to affect all 40 residents in the facility. The facility's Life Enrichment Specialist (LES) I or Activity Director, is not a qualified therapeutic recreation specialist and does not meet the qualifications required to direct the activities program. This is evidenced by: According to Federal Guidelines, the Activity Director must be a qualified therapeutic recreation therapist or must contain one of the following: Is licensed or registered, if applicable, by the State in which practicing; and (A) Eligible for certification as a therapeutic recreation specialist or as an… …
What else Wisconsin surveyors cite →
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