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* 1. Nursing Home Point of Contact for IP Training

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* 2. State

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* 3. Nursing Home CCN

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* 4. Nursing Home Facility Name

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* 5. Please provide total number of staff (including contractual/agency staff)  that have completed infection prevention training (not certification) in your nursing home from the following CMS approved trainings (if "0" staff have completed these trainings, please indicate in each row) :

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* 6. If selected other above, please indicate the name of the training (where do you source the materials for your trainings)

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* 7. If you selected other for number 5, please select all subjects covered in your trainings

 
 33% of survey complete.

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