2015 NCAL Performance Measure Survey

Please complete one survey for EACH assisted living community.

Question Title

* 1. Please identify how your assisted living community measures resident and family satisfaction. Mark all that apply.

Internal satisfaction survey

Outside Organization (please state which organization below)

Do not currently measure satisfaction

Outside organization used to collect satisfaction data:

Question Title

* 2. Please identify how your assisted living community measures employee satisfaction. Mark all that apply.

Internal satisfaction survey

Outside Organization (please state which organization below)

Do not currently measure satisfaction

Outside organization used to collect satisfaction data:

Question Title

* 3. Does the community have a resident council that meets at least quarterly?

Yes

Question Title

* 4. Does your community have a mission statement? (A mission statement is the statement of purpose for your company.)

Yes

Question Title

* 5. Does your community have a quality assurance/quality improvement committee?

Yes

Question Title

* 6. Does your community conduct Root Case Analysis (RCA) to assist with quality improvement?

Yes

Question Title

* 7. Does your community have an orientation program for new employees?

Yes

Question Title

* 8. Does your community have an on-going training program for all employees?

Yes

Question Title

* 9. Does your community offer an employee recognition program?

Yes

Question Title

* 10. Does your community offer a mentoring program for staff?

Yes

Question Title

* 11. Please enter your community's name and address below:

Your name:

Community name: *

Community Address:

City/Town:

State: *

Zip code:

Number of beds *

Results of this survey will be publicly reported in aggregate form only. Individual community data will not be publicly reported. Data will be kept confidential. NCAL will use the information for benchmarking, quality measure development, advocacy efforts, and the Quality Initiative. If you have questions please contact Lindsay B. Schwartz lschwartz@ncal.org or 202-898-2848.