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Nursing Facility Admissions Survey November 2022
1.
Nursing Facility Info
Nursing Facility Name
County
Respondent Name
Respondent Email
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
3.
Admission Policies
Since the beginning of the pandemic has your nursing facility had to place a hold on all new admissions?
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)
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)
6.
Do you currently maintain a waiting list for new admissions to your nursing facility?
Yes
No
7.
Referrals
Approximately how many referrals did you turn down for any reason during the month of November 2022?