Assisted Living Admissions Survey November 2022 Question Title * 1. Assisted Living Facility Info Assisted Living Facility Name County Respondent Name Respondent Email Question Title * 2. Residents and Medicaid Waiver Enrollment How many residents did you have on November 30, 2022 Of the residents on November 30, 2022, how many were on an HCBS waiver What is your Total Licensed Resident Capacity How many beds have you de-licensed since the start of the COVID-19 pandemic? Question Title * 3. Admission Policies Since the beginning of the pandemic has your assisted living facility had to place a hold on all new admissions? Question Title * 4. Please select the answer that describes your assisted living's current approach to new admissions? CHECK ALL THAT APPLY Insufficient staffing Ability to meet the specific needs of the new admission Supply and re-supply of personal protective equipment (PPE) Potential admission must be reviewed by corporate staff Admissions over the weekend are very difficult to process and to staff Other (please specify) Question Title * 5. Do you currently maintain a waiting list for new admissions to your assisted living facility? Yes No Question Title * 6. Referrals Approximately how many referrals did you turn down for any reason during the month of November 2022? Question Title * 7. As of today, how many non-certified staff working as nurse aides do you have that will need to complete training and/or testing for certification before the expiration (January 2023) of the state's nurse aide training waiver? Done