News and helpful information from CATRD

Thought you would enjoy these

Halloween experiments:


1) This Halloween ask your residents – does candy float?
Materials – snack sized Kit-Kat, Milky Way, Three Musketeers and Snickers and four glasses of water. Ask residents to vote on which will float and one by one place them in their own glass of water. Two will float because they have so much air and two will not.
2) Place a Gummy Bear in a glass of water and set it where residents can watch what happens. Over 2 – 3 days it will grow as the water expands the gelatin.

3) Put an M & M in a clear glass of warm water and watch what happens. Over time, the M will float to the top because it is made of wax.

All the best,


In-Room Program Ideas

The following are from the group task at the CATRD Seminar
November 14,2014
Speaker: Cathy Allen, CTRS, ACC

Resident has Cerebral Palsy:

• Take the resident outside for a walk
• Arts & crafts projects: i.e. make jewelry
• Books on tape
• Painting with water colors
• Coloring/drawing
• Aroma Therapy
• Pet assisted therapy visits
• Manicures
• Clergy visits: bedside prayer
• Journal writing
• Read to the resident
• Hand massage
• Resident council member
• Volunteer in the activity department

Resident is withdrawn, isolatice and non-English Speaking:

• Use smart phone (app) to translate words
• Hand gestures
• Cue cards
• Drawing
• Language 101
• Collage of the residents country
• Sing to the resident in their native language

Resident is Quadriplegic:

• Reminiscing
• Music i.e. harmonica around the neck
• Nature stroll
• Trivia
• Painting with his/her mouth
• Books on tape
• Armchair travel
• Hand massage
• Aroma therapy
• Skype pal
• Pen pal with another resident
• Sing-a-long
• Dictate stories and/or letters
• Voice recognition computer games
• Pet assisted therapy
• Read books, magazines, stories, poetry etc.
• Watch a movie
• Cooking
• Share a meal
• Place a bird feeder outside the residents window

Independent resident who is isolative and refuses to attend activities:

• Pest assisted therapy
• Make mocktails
• Sports discussion: football, baseball, golf, hockey, etc.
• Digital camera
• Card games: mock strip poker
• Laptop videos
• Assist him to make calls if has own cell phone
• TV: load USB drive with movies, slide shows, etc.

Resident is diagnosed with COPD. She is depressed and recently lost her husband. She refuses to leave her room:

• Provide favorite food
• Celebrations to cheer her up
• Pet assisted therapy
• Makeover
• Encourage the resident to leave her room
• Journaling
• Scrapbook of her spouse
• Spa time: hand massage, soothing music, and aroma therapy

Resident has been placed in isolation for medical reasons (SRSA, staph infection, open wound/infection, c-dif, scabies, TB, etc)

• In room music programs
• Movies, TV
• Exercise
• Card games
• Trivia
• Puzzles
• Simple crafts
• Crossword puzzles
• Magazines
• Aroma therapy
• In room religious program
• Bibles on tape

Resident is forth-three years old, diagnosed with HIV and refuses to leave his room:

• Pet assisted therapy
• Religious interventions
• Touch therapy
• Play favorite music
• Offer favorite food
• Provide a warm, comfortable blanket
• Decorate the room with favorite items
• Aroma therapy
• Do a makeover
• Laptop: slide show, Utube, search the internet, etc.
• Ipad: loaded with resident choice of music
• Ipod
• Show concert footage
• Discussion about interests and hobbies
• Provide magazines, books, etc.
• CD player with residents choice of music: headphones

This resident diagnosed with Cancer and is at his end-of-life:

• Offer spiritual/pastoral care
• Strolling musician
• Hand massage
• Manicures
• Pet assisted therapy
• Reminisce
• Portable CD player with a variety of music
• Read to the resident
• Aroma therapy: lavender for relaxation
• Meditation
• Intergenerational programs
• Offer a private room for the family to visit with the resident
• Decorate the room with personal items (ask family)
• Decorate the residents room with pictures
• Special requests: i.e. special meal and invite friends and family
• Provide a cot or recliner for the family to spend time at night


The Board is currently seeking Region Representatives.  If you are interested please contact Sharon Louchen.

February 2015

Some of our members have asked how do you document on agitation and other behaviors?  The following are useful tools to help:





Hello Ladies and Gentlemen – there has been a lot of talk about who is qualified to be a TRD.  F-tag 249 addresses part of it.

Barbara Yard always said you had to be enrolled in the program before you could call yourself a TRD and must complete the program.

Attached is the entire F-tag 248 and 249 along with the public health code.  

Any questions let me know.  Kimberly Cassia




§483.15(f)(2) The activities program must be directed by a qualified professional who– 

(i)   Is a qualified therapeutic recreation specialist or an activities professional who‑‑ 

(A) Is licensed or registered, if applicable, by the State in which practicing; and 

(B) Is eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after October 1, 1990; or 

(ii)   Has 2 years of experience in a social or recreational program within the last 5 years, 1 of which was full‑time in a patient activities program in a health care setting; or 

(iii)  Is a qualified occupational therapist or occupational therapy assistant; or 

(iv)  Has completed a training course approved by the State.


INTENT:  (F249) §483.15(f)(2) Activities Director


The intent of this regulation is to ensure that the activities program is directed by a qualified professional. 


“Recognized accrediting body” refers to those organizations that certify, register, or license therapeutic recreation specialists, activity professionals, or occupational therapists. 


An activity director is responsible for directing the development, implementation, supervision and ongoing evaluation of the activities program.  This includes the completion and/or directing/delegating the completion of the activities component of the comprehensive assessment; and contributing to and/or directing/delegating the contribution to the comprehensive care plan goals and approaches that are individualized to match the skills, abilities, and interests/preferences of each resident.   

Directing the activity program includes scheduling of activities, both individual and groups, implementing and/or delegating the implementation of the programs, monitoring the response and/or reviewing/evaluating the response to the programs to determine if the activities meet the assessed needs of the resident, and making revisions as necessary.   

NOTE:    Review the qualifications of the activities director if there are concerns with the facility’s compliance with the activities requirement at §483.15(f)(1), F248, or if there are concerns with the direction of the activity programs. 

A person is a qualified professional under this regulatory tag if they meet any one of the qualifications listed under 483.15(f)(2).