Free Nursing Home Quarterly Evaluation Template
Nursing Home Quarterly Evaluation
This quarterly evaluation aims to ensure the care quality and service standards of our nursing home. Please read and rate each item based on your thorough observation during the specified quarter. Use the provided rating scale to assess each criterion and provide comments if necessary to support your rating.
Evaluation Overview
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Quarter: |
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Evaluation Start Date: |
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Evaluation End Date: |
Evaluator Details
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Evaluator: |
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Role/Position: |
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Email Address: |
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Phone Number: |
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Evaluation Date: |
Rating Scale
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Score |
Meaning |
Details |
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1 |
Poor |
The performance significantly falls short of expectations. Immediate improvement is needed. |
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2 |
Below Average |
The performance meets some, but not all expectations. There are areas that require improvement. |
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3 |
Average |
The performance meets the expectations. It is competent and satisfactory, but there is room for improvement. |
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4 |
Above Average |
The performance exceeds expectations. It is of high quality. |
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5 |
Excellent |
The performance significantly exceeds expectations. It contributes to the overall success of the nursing home. |
Evaluation
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Criteria |
Description |
Score |
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Resident Satisfaction |
Quality of service and care as perceived by the resident |
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Staff Responsiveness |
How quickly and effectively staff meet the needs of residents |
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Cleanliness |
Overall hygiene and sanitation of the facility |
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Nutritional Quality |
The quality, variety, and nutritional balance of food provided to the residents |
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Medical Care |
The level and quality of medical care, treatments, and regularity of health checkups provided |
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Safety Measures |
Adherence to safety and security policies and procedures |
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Recreational Activities |
The range and frequency of activities for the residents |
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Staff Training |
Effectiveness of employee training and their adequacy in handling tasks and challenges |
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Complaint Resolution |
The speed of resolving residents' complaints |
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Respect for Residents |
Assesses the respect and dignity given to residents by the staff |
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Overall Rating |
Additional Comments
Thank you for taking the time! We appreciate your commitment and dedication to our nursing home community. Please do not hesitate to reach out if you have any questions or need further assistance at [Your Company Email].
