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Items in the Reporting Measures for the CAHPS Nursing Home Family Member Survey

Composite Measures
Meeting Basic Needs: Help with Eating, Drinking, and Toileting
Q17 Wait too long for help with eating Response Format

  • Yes
  • No
Q19 Wait too long for help with drinking
Q21 Wait too long for help with toileting
Nurses/Aides' Kindness/ Respect Towards Resident
Q12 Nurses/Aides treat resident with courtesy and respect Response Format

  • Never
  • Sometimes
  • Usually
  • Always
Q13 Nurses/Aides treat resident with kindness
Q14 Nurses/Aides really cared about resident
Q24 Nurses/Aides appropriate with resident displaying behavioral problems
Q15 Nurses/Aides rude to resident Response Format

  • Yes
  • No
Nursing Home Provides Information/ Encourages Respondent Involvement
Q26 Nurses/Aides give respondent timely information about resident Response Format

  • Never
  • Sometimes
  • Usually
  • Always
Q27 Nurses/Aides explain things to respondent
Q37 Respondent involved in decisions about care
Q42 Respondent given information about payments/expenses
Q28 Nurses/Aides discourage respondents questions Response Format

  • Yes
  • No
Q35 Respondent stops self from complaining
Nursing Home Staffing, Care of Belongings, and Cleanliness
Q11 Can find a nurse or aide Response Format

  • Never
  • Sometimes
  • Usually
  • Always
Q40 Enough nurses/aides
Q29 Room looks/smells clean
Q22 Resident looks/ smells clean
Q30 Public areas look/smell clean
Q31 Family member’s personal medical belongings lost Response Format

  • Never
  • Once
  • 2+ times
Q33 Family member’s clothes damaged or lost Response Format

  • Never
  • Once or twice
  • 3+ times

Rating of Care

Q38

 Overall rating of care Response Format

  • 0-10
Page last reviewed March 2016
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