Hello! I am like you, in my facility I am the only Social Worker, Discharge Planner & Activity Director. When I go on vacation, the nursing staff and CNA's are responsible for carrying out the daily activities, However, when I know that I will be out a head of time, I do make sure I meet with the Director of Nursing to go over what activities the nursing staff can do while I am gone and make sure I put that on the Monthly Activity Calendar for those days that I am off. I also make sure that I do as much of my paperwork as possible for the MDS assessments and progress notes ahead of time. Usually the Assistant Director of nursing while complete any MDS assessments for my when I am gone and the Billing Specialist takes care of any Medicare Denial Letters that need to be issued while I am away! Hope this helps!