We make a list of things to do and post it in the activities closet as a backup list. We have Keno and bingo on the list, but we also have hot potato, kickball, ball toss, sing along, sorting games, a simple dice game called "shake and roll", watercolor painting, puzzle time, and a number of other activities. I work at a day center, so the activities might be different than for a nursing home or other facility, but that's the gist of what I do in those situations. I usually try to get a feel for the room and what they're up for. Sometimes I just do a few smaller group activities if I can't find something to accommodate everyone.