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Leadership & Management in Geriatrics
Infection Prevention & Control Leadership Program
Application

Facility Information and Statistics

Only complete applications will be considered for this program.  If you have any questions, please take a moment to call the executive office at (888) 332-3299. 
 
To be eligible, nursing homes MUST meet the following criteria:
  1. CA nursing home located outside of Los Angeles County.
  2. Rated as 1 or 2 Star Facility
1.Your Contact Information(Required.)
2.Facility Information(Required.)
3.Facility Statistics
4.Based on the annual staff turnover reported above, how do you expect the annual turnover rate to change over the next 12 months?(Required.)
5.Are you expecting any changes within your Leadership Team (Administrator, Director of Nursing, Medical Director, Director of Staff Development, or Infection Preventionist) within the next six months?(Required.)
6.What is your facility's current star rating?(Required.)
One Star Facility
Two Star Facility