Free Nursing Home Feedback Log Template

Nursing Home Feedback Log

This document serves as a comprehensive record of feedback received from our residents, their families, and staff, aimed at continually improving the quality of care and services we offer.

Date

Feedback Type

Provided By

Summary of Feedback

Actions Taken

[Date]

Compliment

Resident's Family

Complimented the cleanliness of the facility.

None required.

Instructions for Use:

  • Date: The date when the feedback was provided.

  • Feedback Type: Classify the feedback as a Compliment, Concern, or Suggestion.

  • Provided By: Indicate if the feedback was given by a Resident, Resident's Family, Staff, or Volunteer.

  • Summary of Feedback: A brief description of what the feedback entails.

  • Actions Taken: Immediate or planned actions in response to the feedback.

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