Free Nursing Home Leadership Evaluation Template

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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