5.10.b.  The activities program shall be directed by a person who:

                  5.10.b.1.  Is a qualified therapeutic recreation specialist or activities  professional who has two (2) years of experience in  a social or recreational program within the last five (5) years, one (1) of which was full-time in a resident activities program in a health care setting; or

                  5.10.b.2.  Is a qualified occupational therapist or occupational therapy assistant or

                  5.10.b.3.  Has demonstrated the ability to provide for an ongoing program of  activities designed to meet, in accordance with the comprehensive assessment, the interests and the physical, mental, and psychosocial well-being of each resident; and has completed a training course approved by the State. 

            5.10.c.  If the intended activities director does not meet the requirements above, he or she shall require regularly scheduled consultation by a person who meets the qualifications described in Subdivision 5.10.c.1. of this rule.  The consultation by a qualified consultant may continue until the time a candidate can meet the required qualifications, but not for more than a period of twelve (12) months from the date of hire.

                  5.10.c.1.  A qualified activities consultant is a qualified professional who is a qualified therapeutic recreation specialist or activities professional who is licensed, registered or certified, if applicable, and has three years of experience in a social or recreational program.  This person shall:

                        5.10.c.1.A.  Visit the nursing home as indicated by the needs of the nursing home and its residents, but not less than eight (8) hours quarterly; and

                        5.10.c.1.B.  Provide a written, dated report, containing the time and duration of the visit and a summary of the findings with recommendations for improvements in the program to the administrator and the activities director, within ten (10) working days of the completion of the onsite visit.

            5.10.d.  The duties of the activities director shall include:

                  5.10.d.1.  Developing the nursing home’s recreational and activities plan; organizing and directing the program, developing and implementing a written monthly activities calendar at least one (1) month in advance; completing an accurate resident assessment and care plan; documenting participation or nonparticipation in activities and reasons for nonparticipation as it relates to the resident’s care plan; and maintaining a current record of community services, resources, programs, and nursing home materials available to the residents, staff, and families; and

                  5.10.d.2.  Designing an activities program to restore, maintain, and improve functioning and well-being in conjunction with the care plan for the individual resident.