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)
By Kimberly Grandal, CTRS,ACC/EDU

Writing activity progress notes can be time consuming but it is an important aspect of
documentation.    F-tag 248 clearly states that there must be a method in which each
resident’s program of activities is monitored. There are many ways to complete
progress notes. Below are two examples of a quarterly progress note.

Mrs. X
Quarterly Review:


Since her admission on 10/9/01, Mrs. X has pursued an active leisure lifestyle.  She is
alert and oriented to all realms and makes her needs known.  She is sociable with both
staff and peers and initiates conversations.  Her family members are very supportive
and visit weekly, providing additional reading materials and Mrs. X’s favorite foods.  Mrs.
X is an active participant in daily recreational activities both on and off the unit including
exercise programs, adapted physical games (bowling, basketball, ball games), word
games, bingo, trivia, discussion, Beauty groups, music programs, cooking and crafts.  
Mrs. X also joined the Resident Council and has attended 1x this quarter.  She has
been invited to attend the Young Adult Group, however has declined.  She enjoys going
to the greenhouse for horticultural therapy sessions and the off unit special events.  
Although a practicing Roman Catholic, Mrs. X states she finds much strength in
attending chapel services of all faiths. Mrs. X enjoys a variety of independent activities
including: talking on the phone in her room, listening to music on her Walkman (country
and 50-80’s music), reading large print books, crossword puzzles and watching movies
in her room.  Recreation Staff provides movies, crossword puzzles and large print
reading materials.  Mrs. X has episodes of tearfulness and often dwells on her illness.  
Recreation staff encourages her to pray, listen to favorite music, or find solace in the
greenhouse if Mrs. X does not express interest in joining the group activity.   Recreation
staff will continue to invite Mrs. X to daily recreational activities and provide supplies for
independent pursuits.  In addition, Mrs. X will be encouraged to attend the Young Adult
Group to spend time with residents of her age group for additional support and
companionship.  See care plan number 3 addressing mood and behavior, for specific
interventions. Mary Sunshine, ADC Activity Director

Mrs. P
Quarterly Review:


Mrs. P remains alert with confusion and forgetfulness.  She is oriented to self and her
speech is limited.  She responds to simple direct questions by nodding her head or
mumbling.  Mrs. P is OOB daily in a recliner chair and spends much of the day in the
dayroom where she is engaged in recreational activities including Snoezelen, Five
Alive, Sensory and Movement, Music Therapy and adapted reminiscing groups. R/t to
poor cognitive status, Mrs. P requires extensive assistance (i.e. hand over hand,
physical/verbal cueing) to participate in leisure programs.  R/t  contractures of both
arms she is provided with U/E and L/E PROM during adapted physical games and
exercise programs to maintain physical functioning.  During sensory programs, a
variety of Recreational techniques are utilized to elicit responses to stimuli including:
Aromatherapy for olfactory stimulation; hand massages, textured objects and props
(yarn) for tactile stimulation; pictures of interest (cats) fiber optic lights and bubble
towers for visual stimulation; ice cream, pudding, flavored lip balms etc. for gustatory
stimulation; and music (Italian and singalong) as well as nature sounds, for auditory
stimulation. Mrs. P responds to sensory stimulation by tracking objects, vocalizing,
smiling, laughing, humming, and tapping feet and hands. She especially enjoys Italian
music and the song “O Solo Mio”. She also participates in discussion and
reminiscence groups when asked closed-ended questions. Recreation staff provides
one to one sensory programs PRN.  Family visits are irregular. Recreation staff will
continue to provide sensory stimulation to enhance responses to external stimuli and
maintain quality of life.   See care plan number 2 addressing contractures, for specific
interventions.  Mary Sunshine, AAC Activity Assistant

If you’re interested in an easier way of completing progress notes you may want to
consider the following product from Re-Creative Resources Inc. Recreation Progress
Note: This one-page form helps you write Progress Notes, easily and thoroughly.
Simply write phrases or short sentences in the spaces provided. It includes areas such
as: One to One Interventions, Group Activities, Responses to Activities, Level of
Participation, etc. You also receive the "Components of a Progress Note" tool that
designates various examples in conjunction with the Progress Note Form for each
category listed. To order this product visit