Admission
How would you rate your satisfaction with the admissions process?
Was the admission paperwork and services explained clearly?
Room
How would you rate the cleanliness of your room?
Was everything provided by the facility in your room operational?
Maintenance
How would you rate the skill and promptness of the maintenance staff?
Is the maintenance staff friendly and courteous?
Nurses
Has the nursing staff been able to explain care procedures clearly?
Has the nursing staff responded to concerns and ideas and treated you with dignity?
Nurses Aides
Have the nurse's aides and staff been able to explain care procedures clearly?
Have the nurse's aides responded to concerns and ideas and treated you with dignity?
Housekeeping
Level of odor control in the facility:
Quality of your laundry services:
Activities
Are there a large variety of recreational, educational, and religious activities available to you?
Is the staff responsive to you, your loved ones, and other residents when participating in activities?
Dietary
How would you rate the quality of our dietary services?
Food is served hot and fresh?
Finances
Has there been a clear explanation of fees and procedures?
How would you rate the services of the business office?
Miscellaneous
How have the staff treated your visitors?
How did you hear about us?
If Other, please specify
Additional Comments
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