Re-Creative Resources
By Kimberly Grandal, BA, CTRS, ACC, Executive Director
http://www.recreativeresources.com/index.htm
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ESPECIALLY DESIGNED WITH SENIORS IN MIND
FEATURING TONS OF BULLETIN BOARD AND CRAFT SUPPLIES
KIMBERLY GRANDAL
Executive Director
Re-Creative Resources
About Kim

Kimberly Grandal, Founder
and Executive Director of Re-
Creative Resources, Inc., is a
strong advocate for the field of
Therapeutic Recreation and
Activities, with over fifteen
years of experience working
with the elderly in numerous
management and consultant
positions.  She is an Activity
Consultant Certified and a
Certified Therapeutic
Recreation Specialist. Kim is a
member of the New Jersey
Activity Professionals
Association and the New
Jersey/Eastern Pennsylvania
Therapeutic Recreation
Association.

In 1990, Kim graduated from
William Paterson University
with a BA in Sociology and
later studied gerontology
courses at Union County
College and Therapeutic
Recreation courses at Kean
University. Throughout her
career, Kim has been the
Director of Therapeutic
Recreation for several long-
term care facilities, including
one of NJ’s largest.

In 2006, Kim founded Re-
Creative Resources Inc. She is
a speaker for various state and
local activity associations such
as NJAPA, MOCAP, and
NJACA, as well as the Society
of Licensed Nursing Home
Administrators of NJ. She also
offers lectures for Re-Creative
Resources Inc., local colleges,
and community groups, and
provides consultation and
support to numerous facilities
in the state.

Kim is the editor and writer for
the “The Rec-Room", a
monthly newsletter published
by her company. In addition,
she writes monthly articles for
the Activity Directors Office
newsletter, and has contributed
articles to Creative Forecasting
Magazine, and The
Continuing Care Insite
newsletter.

Kim is a recipient of the
Kessler Institute of
Rehabilitation 1997 Triumph
of the Human Spirit Award.  
Her passion is to promote the
field of Therapeutic
Recreation and Activities and
to unite Recreation Therapists
and Activity Professionals. Kim
currently serves on the NJAPA
board as the Chairperson for
the Legislation Committee.
About
Re-Creative
Resources Inc.

Re-Creative Resources, Inc. is
committed to enhancing the
lives of long-term care
residents through the use of
Therapeutic Recreation. We
provide a variety of services
such as Therapeutic
Recreation seminars,
in-services, resources, form
development, program analysis
and development,
consultation, and support for
activity professionals and
recreational therapists. A
selection of downloadable
training materials and forms
are available for your
convenience as well as a free
job posting site.
Subscribe to Kimberly's Newsletter
Revised F-tags for Nutrition and Sanitary
Conditions: An Overview for Activity Professionals
By Kimberly Grandal, CTRS, ACC

On June 20, 2008 CMS provided an advance copy of the guidance and protocol on
Nutrition F-tag 325 and Sanitary Conditions F-tag 371.  Although the regulatory
language remains the same, F-tag 326 has been merged with F-tag 325 and F-tag 370
has been merged with F-tag 371. Areas of great importance for Activity departments
include:  unavoidable weight loss, weight change, nutrition and interventions,
therapeutic diets, sanitary conditions, food preparation, food storage, food distribution
and handling,  cleaning kitchen equipment and utensils, “ready to eat foods”, potentially
hazardous food such as eggs, and physical contaminations such as hair, and nails.

Be sure to have policy and procedures that address proper food storage, cleaning
cooking equipment and utensils, as well as food handling and distribution. There are
many questions to consider. For example:

  • How does the activity staff store baking goods and other types of packaged
    food? Take a few moments to clean out all of your activity cabinets that store
    food-you’ll be surprised what you’ll finding lurking in there!
  • How is food stored in the refrigerator in the activity areas? Make sure everything
    is labeled and dated.
  • Is the refrigerator at the proper temperatures and checked regularly?
  • How does the Activity staff distribute food? Are gloves or tongs utilized?
  • If the activity staff wears gloves, do they changes the gloves accordingly?
  • Is the Activity staff following all hand-washing procedures?
  • How do you clean the cooking equipment like pots and pans, wooden spoons,
    bowls, etc? There are designated water temperatures and procedures to follow.

Another important area to review is the comprehensive care plan. There is much
emphasis on care plan intervention for weight loss, weight loss prevention and
nutrition. Recreation plays an important role in these areas. Interventions such as
“invite to food-related activities” is not resident-specific. There are many types of food
related programs such as cooking, baking, morning coffee socials, parties, luncheons,
dinners, BBQ’s, picnics, clubs, etc. These should be indicted on the comprehensive
care plan. In addition, therapeutic diets and adaptive equipment must be addressed.

All Activity Directors should discuss the revised guidance with the facility Food Service
Director and Dietician to ensure that the Activity staff is adhering to the regulations. This
revised surveyor guidance for surveying Nutrition and Sanitary Conditions in LTC
facilities will become effective on September 1, 2008. At that time, a final copy of this
new guidance will be available at
http://www.cms.hhs.gov/Transmittals  and ultimately
incorporated into Appendix PP of the State Operations Manual. To download an
advanced copy of the guidance and training slides, visit
http://www.cms.hhs.gov/SurveyCertificationGenInfo/downloads/SCLetter08-28.pdf

SAMPLE
RECREATION DEPARTMENT
REFRIGERATOR LOG

MONTH:____________________  
     
LOCATION:__________________
 
Date
Refrigerator
Temperature
Freezer
Temperature
Checked By:
Coments
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2 4
         
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