Hi Julie, regarding ideas for a group of residents with severe cognitive deficit and visual impairment; one thing that have worked in our facility is to place a bunch of pieces of fabrics on top of the table and let them explore it. We find that most residents get interested in it, by looking and folding the fabric and those with visual problems will touch and feel the different textures (cotton, silk, wool, felt, lace, linen, etc). The pieces of fabric should be large enough so if they put it in their mouth they won\'t swallow it.