Federal Code § 485.645 is entitled “Special requirements for CAH (Critical Access Hospital) providers of long-term care services (“swing beds”).” It states that a CAH must be in substantial compliance with the skilled nursing facility requirements found in § 483. § 483.15 states that the facility must provide a comprehensive activities program that is designed to meet the physical, mental and psychosocial interests and needs of each patient. To ensure the program is meeting the interests and needs of patients, it also states that a comprehensive activities assessment should be completed with each patient. A wealth of research finds that there are significant physical, mental and psychosocial benefits of activities and substantiates the necessity of a comprehensive activities program. The purpose of this Capstone project was to provide evidence-based recommendations to the Mayo Clinic Health System in Waseca on how they can make their existing patient activities program more comprehensive such that it is capable of meeting the diverse physical, mental and psychosocial interests and needs of each patient receiving swing bed services.


Nancy M. Fitzsimons

First Committee Member

Michelle Alvarez

Second Committee Member

Tina Olson

Date of Degree




Document Type

Other Capstone Project


Master of Social Work (MSW)


Social Work


Social and Behavioral Sciences

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License



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