Nursing Home Leadership Evaluation

Please read each statement carefully. Rate the performance based on your observation and experience. Ensure honest and objective evaluation. Provide comments or notes if necessary to support your rating.

Evaluator Details

Name:
Role/Position:
Date:

Evaluatee Details

Name:
Role/Position:
Department:

Rating Scale

• 1: Poor

• 2: Below Average

• 3: Average

• 4: Above Average

• 5: Excellent

Evaluation

Aspect	Item	Rating
Leadership Skills	Demonstrates effective communication skills
	Shows ability to make decisions in a timely manner
	Effectively manages and resolves conflicts
Team Management	Fosters a positive work environment
	Encourages team collaboration and cooperation
	Provides constructive feedback and guidance
Resident Care	Ensures high standard of care for all residents
	Addresses resident concerns promptly and effectively
	Advocates for resident rights and needs
Total Score

Comments/Notes

Please note that this evaluation is confidential and will be used to enhance the quality of leadership and care in our nursing home. Thank you for your time and valuable input.

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