Inclusion Criteria:  Residing >3 months in long term care facility Evidence of mild cognitive impairment (SAGE score 15-16), mild dementia (SAGE score <15, AD8<2, DSRD<19), or moderate dementia (SAGE <15, AD8>1, DSRD 19-36) Symptoms of apathy (Score 30+ on AES-C)  Exclusion Criteria:  Severe cognitive impairment Physically unable to participate Unable to provide assent Uncorrected vision or hearing Never spoke English Unable to sit comfortably in chair Acutely ill, terminally ill or unresponsive Unable to be moved to activity location Aggressive or combative