Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help
Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help
Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help
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MEAL MONITOR ASSIGNMENT AND TIMES<br />
Date:<br />
Breakfast:<br />
Person assigned to Main Dining Room:<br />
Time:_____________<br />
Person assigned to Hall Trays: _ Time:_____________<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Time:<br />
Time:<br />
Time:<br />
Lunch:<br />
Person assigned to Main Dining Room:<br />
Person assigned to Hall Trays:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Dinner:<br />
Person assigned to Main Dining Room:<br />
Person assigned to Hall Trays:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Person assigned to Other Dining Room<br />
Specify exactly where:<br />
Time:_____________<br />
Time:_____________<br />
Time:<br />
Time:<br />
Time:<br />
Time:_____________<br />
Time:_____________<br />
Time:<br />
Time:<br />
Time:<br />
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