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Yet, we were unable to identify any research examining such deviations or their implications. Thus, drawing on data from three diverse AL communities studied over a one-year period, we aim to: 1) examine deviations in scheduled engagement programming; 2) identify influential factors; and 3) understand resident outcomes. Our analysis identified general adherence to calendars but also deviations involving cancellations and substitutions. Factors influencing deviations included staff and staffing, engagement capacity, programming guidance and support, care staff attitudes and beliefs, and unforeseen circumstances. Cancellations typically meant resident inactivity and sometimes boredom, disappointment, and anxiety; substitutions appear less detrimental. 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