Re-Creative Resources
By Kimberly Grandal, BA, CTRS, ACC, Executive Director
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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

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

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.
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
See Kim's You-Tube videos (Click Here)
Legislative News and Advocacy
Kimberly Grandal, CTRS, ACC/EDU
Executive Director, Re-Creative Resources Inc.
NJAPA Legislative Chair
NAAP & NCCAP Gov’t Relations Committee Member

Regulation Update
In July, 2009 CMS announced revisions to Infection Control Interpretive Guidelines for
Long-Term Care Facilities-Tag F441. The following infection control Ftags will be
combined into one Ftag 441:
•        Appendix PP/§483.65(a)/Infection Control/Tag F441
•        Appendix PP/§483.65(b)/Preventing Spread of Infection/Tag F441
•        Appendix PP/§483.65(c)/Linens/Tag F441
•        Appendix PP/§483.65(b)/Preventing Spread of Infection/Tag F442
•        Appendix PP/§483.65(b)(2)/Tag F443
•        Appendix PP/§493.65(b)(3)/Tag F444
•        Appendix PP/§493.65(c)/Linens/Tag F445
CMS stated the reason for this change is “to best utilize the surveyors time and
resources”. Activity Directors should discuss this revision with the Infection Control
liaison in their facilities to ensure compliance.  The effective date for this change is
September 30, 2009. Download the memo and infection control update at http://www. or contact Kim Grandal
for a copy.
Nursing Home Cuts

On July 16, 2009, the House came out with a bill cutting nursing homes of $50+/-billion.
Cuts include low to no wage increases, staffing cuts, and elimination of bonuses,
some benefits, and more. This is estimated to be the worst ever in our industry. In an
effort to try and stop these cuts, NJAPA encouraged members and other
activity/recreation professionals to send computerized letters to NJ congressmen
through the Capwiz AHCA system.  A letter was sent on behalf of NJAPA by Sharon
Wolfe. In addition, many NJAPA members and Activity Professionals from around the
state, sent letters opposing these cuts.

Elderly Hate Groups on Facebook

After reading an article about elderly hate groups on Facebook, on July 22nd, the NJAPA
I did further research to see if there were in fact many of these groups found on the
popular social on-line network. Research found that there are many wonderful groups
on Facebook for and about the elderly but there are also many degrading ones, filled
with hate toward this population. Twenty groups were found in just a few hours of
searching the term “Elderly”.

I reported all of these groups to the Facebook facilitators and also encouraged other
activity and recreation professionals from around the country to do the same. NAAP,
NCCAP, NJAPA, and Re-Creative Resources Inc. FB group members were notified.
Although it is not certain how many people actually reported these hate groups, dozens
of responses to this advocacy request were received.

As of September 1, 2009, 25% of these hate groups are no longer available on
Facebook. Activity professionals and organizations should monitor these groups and
continue to advocate for the elderly. It is recommended that other common words and
phrases be researched on Facebook in the groups section to attempt to locate other
hateful groups. Words may include “old people”, “geezers”, “granny”, etc. If additional
hate groups are found, please report these groups to Facebook and let me know so I
can keep track. For a list of the elderly hate groups currently found on Facebook, contact
Kim Grandal. Let’s stop the hate!

Speak Out!
Re-Creative Resources Inc. would like to know what you think of the following question:
What effects, if any, will the Culture Change Movement and the idea of the "universal
worker" have on the activity and recreation profession?
Please email your response to Kim Grandal. Your answers will be compiled and
posted anonymously.

To stay abreast of legislative, advocacy, and regulatory issues please be sure to visit If you have any questions,
comments or concerns regarding legislation and advocacy for the activity profession
and those we serve, please do not hesitate to contact Kim Grandal at