Amy, I have only been in this position a few months. I am the only person in Activities currently 83 residents. Coming up with ideas, sometimes is tough. Paperwork is one of the biggest problems. It would make my life easier if someone else would do the paperwork, then I could do what I really enjoy. Which is spending time with the residents. I wish I had a room that could be used to relax. ex Aromatherapy, soft lighting, soothing sounds and some sensory items to use. I get hired musicians every month. I will tell you it's not easy but it is worth it. Everyday I can say I made a difference. The residents are the reason I do this, it's for them not me. Good luck and I wish you well.