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* 1. Facility Name:

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* 2. Facility County:

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* 3. Are you experiencing staff shortages at the current time?

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* 4. Are your staffing levels negatively impacting your ability to admit new residents?

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* 5. Total # of FT positions vacant:

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* 6. Total # of PT positions vacant:

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* 7. # of FT positions vacant in December 2019 

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* 8. Current Census (% of capacity, e.g., 80% capacity)

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* 9. Pandemic Response Compensation (check all that apply)

  Previously Offered Currently Offered
Hourly Differential
Bonus for all staff
Bonus for staff that worked in red zone
Bonus for staff that worked in yellow zone
Bonus for staff that worked in green zone
Incentives (e.g., Sign-on bonus, retention bonus, gift cards, etc.)

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* 10. Please choose from below what your facility offers (check all that apply)

0 of 10 answered
 

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