Nursing Facility Admissions Survey November 2022 Question Title * 1. Nursing Facility Info Nursing Facility Name County Respondent Name Respondent Email Question Title * 2. Residents How many residents did you have on November 30, 2022 What is your licensed bed capacity How many beds have you de-licensed since the beginning of the COVID-19 pandemic Question Title * 3. Admission Policies Since the beginning of the pandemic has your nursing facility had to place a hold on all new admissions? Question Title * 4. Please select the answer that describes your nursing facility's current approach to new admissions? CHECK ALL THAT APPLY Facility has a hold on all new admissions Facility is admitting residents from the community but not the hospital (if admissions criteria is met) Facility is admitting residents from the hospital but not the community (if admissions criteria is met) Facility is admitting residents if admissions criteria is met Facility will admit/re-admit only after a discharge from this facility (assuming admissions criteria is met) Other (please specify) Question Title * 5. Which of the following criteria presently inform your decision to accept or not accept an admission. 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 * 6. Do you currently maintain a waiting list for new admissions to your nursing facility? Yes No Question Title * 7. Referrals Approximately how many referrals did you turn down for any reason during the month of November 2022? Done