Free Nursing Home Department Evaluation Template
Nursing Home Department Evaluation
This evaluation will provide insightful metrics to enhance our overall quality of care. Please take a few moments to provide a thorough observation based on the criteria herein. Use the rating scale below to provide an insightful evaluation. Include additional comments/suggestions as needed.
Rating Scale
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1 |
2 |
3 |
4 |
5 |
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Poor |
Below Average |
Average |
Above Average |
Excellent |
Evaluation Criteria
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Criteria |
Description |
Rating |
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Quality of Service |
Evaluates the quality of care given to patients |
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Patient Safety |
Reflects the measures to protect patients from harm |
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Cleanliness and Hygiene |
Assesses the level of cleanliness and adherence to safety protocols |
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Communication |
Reviews the effectiveness of communication among staff members and patients |
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Patient Satisfaction |
Measures patient satisfaction in terms of care, food, treatment etc. |
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Medical Record Accuracy |
Evaluates the accuracy of patient records and adherence to data privacy regulations |
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Medication Management |
Assesses the efficiency of dispensing meditations and medical treatments |
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Nutrition and Diet |
Review the quality of nutrition and diet provided to the patients |
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Staff Responsiveness |
Evaluates staff's promptness in responding to patient needs |
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Training and Education |
Reviews relevance and impact of staff training and education |
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Total Score |
Additional Comments/Suggestions
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Criteria |
Comments/Suggestions |
|---|---|
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Quality of Service |
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Patient Safety |
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Cleanliness and Hygiene |
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Communication |
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Patient Satisfaction |
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Medical Record Accuracy |
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Medication Management |
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Nutrition and Diet |
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Staff Responsiveness |
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|
Training and Education |
Evaluator Information
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Field |
Information |
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Name: |
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Role/Position: |
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Date: |
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Time: |
