1 - Poor

2 - Fair

3 - Average

4 - Good

5 - Excellent

1

2

3

4

5

I. Crisis Preparedness

A. Availability of a comprehensive crisis management plan

B. Regular training and drills for staff

C. Accessibility of emergency equipment and supplies

D. Staff familiarity with crisis roles and responsibilities

II. Communication

A. Clarity of internal communication channels during a crisis

B. Efficiency of communication with residents and families

C. Effectiveness of communication with external agencies

III. Response and Execution

A. Timeliness of initial crisis response

B. Adherence to crisis management plan during incidents

C. Coordination among departments during a crisis

IV. Support and Care

A. Availability of psychological support for residents

B. Availability of support for staff

C. Protection of residents' safety and well-being

V. Post-Crisis Evaluation and Learning

A. Thoroughness of post-crisis debriefings

B. Implementation of improvements based on crisis feedback

C. Communication of lessons learned to all staff