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Nursing homes and long-term care. When you think of these terms, you think of nursing care, physical therapy, and dietary needs. The one thing that is overlooked is the activities department. Activities in a long-term care facility are not only important but essential. I will explain and take you through some aspects of an activities department. Having worked with the elderly population for twenty years so far, my goal is to help you understand and/or develop what I feel is the most important department in a facility.