Managing Activities in Nursing Homes


November 24, 2012 by astancilwomack

Whenever most people think of activities in a nursing home they think of BINGO, or something equally stereotypical. While someresidents do love their BINGO, others do not. It is the facilities job to figure out what interests each resident individually, and get them involved. In fact, this is a regulation of the federal government.

Federal regulations, also called F-tags mandate particular regulations in healthcare. F-tag 248 was most recently updated in 2006. On June 1, 2006, as published by the Centers for Medicare/Medicaid Services (CMS) the F-tag 248 (483.15) established that activities is a mandatory service because it is included in the total charges of the patient care. Since activities are a service included in the patient’s stay, the government has included the following criteria that must be met in order to comply:

  • As mentioned in my previous post about the 1987 OBRA, the facilities are required to keep a comprehensive assessment of each patient. According to F-tag 248, this must include a section about each resident’s activities.
  • The overall comprehensive plan needs to be tailored per individual based on the resident’s interests, skill level, and physical abilities.
  • The activity level and involvement needs to be monitored and recorded for each individual. The idea is to maximize resident involvement, so if there are some resident’s not engaging the activities department needs to reevaluate, and reorganize in order to get the resident(s) more involved.
  • The idea is to meet each resident’s needs. If there are 120 or more beds in a facility then this law mandates that there be at least one full time social worker employed by the facility.
  • The goal is to make the resident the most comfortable as possible, this means allowing them to use their personal items when possible, allowing the resident to create a home-like environment. A homelike environment includes, lighting, temperature, decor etc.
  • Adding to the comfortable homelike environment includes maintaining an organized and sanitary facility.

Feel free to leave any questions or comments you might have. You can also read the full version at



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Mandy Stancil-Womack

My name is Mandy Stancil-Womack. I am interested in pursuing a career in medical management. I am learning as much as I can in order to start my career. This page allows me to explore different aspects of medical administration.

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