The Annual Evaluation Form is a new, essential tool
designed for assisted living facilities to systematically assess the
effectiveness of their programs and services each year. This form
provides a structured framework for evaluating key operational areas,
supporting continuous improvement and regulatory compliance.
Key Features:
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Facility overview section to document the facility name and evaluation year
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Rating scales for core program areas: Resident Care
Services, Staff Performance and Training, Facility Maintenance and
Safety, and Compliance with Regulations
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Resident Satisfaction Feedback Summary with the option to attach survey results
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Action Plan for Improvement section to outline steps for addressing identified needs
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Approval section for facility administrator’s name, signature, and date
This Annual Evaluation Form helps facilities monitor
quality, identify areas for growth, and demonstrate a commitment to high
standards of care and service. It is ideal for assisted living
communities seeking an organized, industry-standard approach to annual
performance review and quality assurance.
