You probably need a redesign of your tables!
Admissions and discharges should be in one table where a field designates
the record as an admission or discharge. In your report you would then group
on this field. Grievances/complaints would be in a table for these records
so in your report you would use a subreport for these records. Staff
meetings would have their own table so in your report you would use a
subreport for these records. Purchasing Card Issues, Computer Issues,
Business Office Issues and HR Issues records would all be in an issues table
with a field to designate the type of issue. You would use a subreport for
issues and in your subreport you would group on this field. Finally,
Physical Plant Comments would have their own table and you would use a
subreport for these records.