{"product_id":"quarterly-activity-progress-note-template-fillable-pdf-for-activity-directors-nursing-home-activity-documentation-form","title":"Quarterly Activity Progress Note Template, Fillable PDF for Activity Directors, Nursing Home Activity Documentation Form","description":"\u003ch1\u003eFillable quarterly progress note for activity directors. Nine sections cover level, participation, response, three care plan goals, and plan changes.\u003c\/h1\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003e\u003cstrong\u003eWHAT IT IS\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv\u003eA six-page PDF for writing a complete quarterly activity progress note. Four pages are a fillable form with checkboxes and writing boxes. Two pages are writing help, with prompts and sample wording for each functional level.\u003c\/div\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003e\u003cstrong\u003eTHE NINE SECTIONS OF THE FORM\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv\u003e1. Changes this quarter\u003c\/div\u003e\u003cdiv\u003e2. Functional level, with abilities compared to the last review\u003c\/div\u003e\u003cdiv\u003e3. Participation this quarter\u003c\/div\u003e\u003cdiv\u003e4. Interests and activity types\u003c\/div\u003e\u003cdiv\u003e5. Response to programming\u003c\/div\u003e\u003cdiv\u003e6. Supports and adaptations in use\u003c\/div\u003e\u003cdiv\u003e7. Care plan goals: three goals, each with a status and a progress box\u003c\/div\u003e\u003cdiv\u003e8. Plan for next quarter, with follow-up needed\u003c\/div\u003e\u003cdiv\u003e9. Summary and sign-off\u003c\/div\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003e\u003cstrong\u003eTHE WRITING HELP\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv\u003e- Prompts for four functional levels (early, middle, late-middle, and late stage): what to look for, a sample note with blanks to fill in, and plan ideas\u003c\/div\u003e\u003cdiv\u003e- A measurable-goal formula and a sample goal for each level\u003c\/div\u003e\u003cdiv\u003e- What each goal status means, in plain words\u003c\/div\u003e\u003cdiv\u003e- A word bank for engagement, mood, social connection, and support\u003c\/div\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003e\u003cstrong\u003eDETAILS\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv\u003e- 1 PDF file, 6 pages, US Letter size (8.5 x 11 inches)\u003c\/div\u003e\u003cdiv\u003e- Type into it on a computer, or print it and fill it in by hand\u003c\/div\u003e\u003cdiv\u003e- Fillable fields work in the free Adobe Acrobat Reader\u003c\/div\u003e\u003cdiv\u003e- Color-coded level headings; prints in color or in grayscale\u003c\/div\u003e\u003cdiv\u003e- Use it for quarterly, annual, and change-in-condition reviews\u003c\/div\u003e\u003cdiv\u003e- Save a fresh copy for each resident each quarter\u003c\/div\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003e\u003cstrong\u003eGOOD FOR\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv\u003e- Activity directors and activity assistants\u003c\/div\u003e\u003cdiv\u003e- Skilled nursing, assisted living, and memory care communities\u003c\/div\u003e\u003cdiv\u003e- Adult day centers\u003c\/div\u003e\u003cdiv\u003e- Care plan meetings\u003c\/div\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003e\u003cstrong\u003ePLEASE NOTE\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv\u003eThis template supports your documentation and does not replace your community's required forms or policies. The functional level is an activity-planning guide, not a diagnosis. The template uses its own Level A-D wording and does not reproduce the Global Deterioration Scale, FAST, Allen Cognitive Levels, or GEMS.\u003c\/div\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003eThis is a digital download. No physical item will be shipped.\u003c\/div\u003e\u003cdiv\u003e \u003c\/div\u003e\u003cdiv\u003eCreated by a senior care professional with about 30 years of experience as an activity director and program director.\u003c\/div\u003e","brand":"Senior Space","offers":[{"title":"Default Title","offer_id":67637706293523,"sku":null,"price":4.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0978\/8732\/2387\/files\/fmWBNWb7UU.png?v=1791599908","url":"https:\/\/www.activitydirectorspayactivitydirectors.com\/products\/quarterly-activity-progress-note-template-fillable-pdf-for-activity-directors-nursing-home-activity-documentation-form","provider":"Activity Directors Pay Activity Directors","version":"1.0","type":"link"}