This questionnaire is
designed to measure our
performance in meeting your
needs and to identify areas
forimprovement.
Your responses and comments
will assist us in evaluating
our performance.It
should take no more than
five minutes to answer the
following questions.Thank
you in advance for your time
and cooperation.Please
click "Submit"
to send your survey
response.
Marked fields are
required in order to
send the survey.
Nursing Care
Standards
1.
Help each
patient to be as
independent as
his/her health
will allow.
2.
Quickly
recognize and
respond to the
patient’s
physical and
emotional needs.
3. Nursing
Assistants are
professional and
take adequate
time in caring
for each
resident.
4. Licensed Nursing
Staff keep
family members
informed of
changes in the
patients
condition.
5.
Residents’
dignity, respect
and privacy are
maintained at
all times.
Nursing
department
comments and
suggestions:
Meals and Dining
Standards
6. The
dining room(s)
and staff
responsiveness
provides a
pleasant and
comfortable
setting for
meals.
7. Provide a
variety of meals
that meet the
patients dietary
needs.
8. Meals are
attractively
prepared and
given in a
timely manner to
the patients.
Meals and Dining
comments and
suggestions:
Physical Setting
Standards
9.
Provide an
environment that
feels safe and
secure forpatients
and family
members
10. Provide a
comfortable,
open and
attractive
setting that is
as much homelike
as possible.
11. Provides a
clean, orderly
environment.
Physical Setting
comments and
suggestions:
Patient
Activities
Standards
12. A
variety of
useful and
interesting
programs are
provided onas daily
basis to help
patients enjoy
life.
13. Programs are
designed to meet
the physical,
social,
emotional and
spiritual needs
of each patient.
Patient
Activities
comments and
suggestions:
Social Services
Standards
14.
Provide family
members good
advise and
assistance when
choosing and
entering
Anberry Nursing & Rehabilitation Center, as well
as planning for
discharge.
15.
Provide
emotional
support and
assistance to
family members
and our
patients.
Therapy
Standards
16.
Physical therapy
was done in a
well-organized
and courteous
manner.
17. Therapy
addressed your
physical needs
and met your
expectations.
Comments and
suggestions for
Therapy:
Management and
Staff Standards
18.
Administrator,
DON and/or other
managers are
responsive to
patients and
families when
concerns arise.
19. Admissions
process was
professional and
informative.
20. In
general, staff
are professional
and attempt to
fulfill
residents and
family needs.
21. Visiting hours
are flexible and
convenient for
family members.
Comments and
suggestions for
Management and
Staff:
Would you like someone to call you to discuss any of the concerns or comments made in this survey?
Would you
recommend this
nursing facility
to a family
member or
friend?
Your
written comments
and suggestions
are the most
valuable
information you
provide us. Please take a
few moments to
give us your
suggestions and
comments.
Has
this survey
allowed you to
evaluate the
facility in a
satisfactory
manner?
If
no, what else
would you like
to let us know?
Our
goal is to
assure that
everyone
visiting has a
pleasant
experience.
Please inform us
if there is
anything that
would have made
your stay more
comfortable.
We
always need and
appreciate your
positive
comments. Please
let us know what
you enjoyed most
about the
facility and our
staff.
