Free Nursing Home Quarterly Evaluation

Quarter:

Evaluation Start Date:

Evaluation End Date:

Evaluator:

Role/Position:

Email Address:

Phone Number:

Evaluation Date:

1

Poor

The performance significantly falls short of expectations. Immediate improvement is needed.

2

Below Average

The performance meets some, but not all expectations. There are areas that require improvement.

3

Average

The performance meets the expectations. It is competent and satisfactory, but there is room for improvement.

4

Above Average

The performance exceeds expectations. It is of high quality.

5

Excellent

The performance significantly exceeds expectations. It contributes to the overall success of the nursing home.

Resident Satisfaction

Quality of service and care as perceived by the resident

Staff Responsiveness

How quickly and effectively staff meet the needs of residents

Cleanliness

Overall hygiene and sanitation of the facility

Nutritional Quality

The quality, variety, and nutritional balance of food provided to the residents

Medical Care

The level and quality of medical care, treatments, and regularity of health checkups provided

Safety Measures

Adherence to safety and security policies and procedures

Recreational Activities

The range and frequency of activities for the residents

Staff Training

Effectiveness of employee training and their adequacy in handling tasks and challenges

Complaint Resolution

The speed of resolving residents' complaints

Respect for Residents

Assesses the respect and dignity given to residents by the staff

Overall Rating