This letter outlines the requirements for nursing homes and other healthcare facilities to provide an ongoing program of activities based on the comprehensive assessment and care plan of each resident. It emphasizes the importance of providing meaningful activities that reflect the resident's interests and lifestyle, as well as providing opportunities for interaction with the community. It also provides guidance on activity approaches for residents with dementia, as well as other behavioral issues, and suggests activities that can be used to help reduce distressed behavior. The letter also mentions the use of culture change philosophies, such as the Eden Alternative, to create meaningful life opportunities for residents. Nursing homes/healthcare facilities must use the Activities Critical Element pathway and the guidance provided in this letter to investigate concerns related to activities and ensure they are meeting the needs of their residents.

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