This session provides an in-depth review of documentation best practices for activity and social service departments within nursing home settings. Attendees will explore regulatory expectations, interdisciplinary communication strategies, and person-centered documentation techniques that reflect each resident’s psychosocial well-being and engagement. The presentation will emphasize how accurate, timely, and meaningful documentation directly impacts quality of care, regulatory compliance, and care planning outcomes.

Objectives:

· Identify regulatory requirements for documenting activity and social services in nursing homes, including regulations and surveyor focus areas.

· Describe the components of effective documentation that reflect resident choice, participation, psychosocial needs, and individualized goals.

· Differentiate between social service and activity documentation, ensuring clarity of roles and appropriate language for each discipline.

· Apply person-centered documentation practices to accurately capture resident preferences, barriers to participation, and outcomes.

· Recognize common documentation pitfalls and strategies to improve accuracy, timeliness, and interdisciplinary collaboration.

• Contact:
  Shanna Reece