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Keeping The Pines Safe Through COVID-19

2026 The Pines Resident and Family Engagement Survey

Please respond to the questions in the survey either as the resident or, if you are a person of importance, on behalf of the resident. Responses for the resident should reflect your observations and experiences during your time with them. We value your feedback and will use it to improve the quality of care in the years ahead.

Persons of importance may include anyone significant to the resident, such as family members, Power of Attorney (POA), Substitute Decision Makers (SDM), essential caregivers, and close friends.

1.  

I feel a strong sense of belonging by being included, welcomed, and encouraged to be involved in the home because of the caregivers and residents. 

* required
As the person of importance to the resident, this statement is true.
2.  

My room offers a cozy private atmosphere, and I have the freedom to personalize it according to my taste. 

* required
As the person of importance to the resident, this statement is true.
3.  

The activities provide me with a sense of purpose and accomplishment. 

* required
As the person of importance to the resident, this statement is true.
4.  

There are opportunities here for me to practice the religious and spiritual beliefs or values I chose. 

* required
As the person of importance to the resident, this statement is true.
5.  

I enjoy being in the dining room at mealtimes with my tablemates. 

* required
As the person of importance to the resident, this statement is true.
6.  

My food is served at an acceptable temperature. 

* required
As the person of importance to the resident, this statement is true.
7.  

There are always two (2) choices for every meal that consider my likes and dislikes. The meals meet my dietary requirements. 

* required
As the person of importance to the resident, this statement is true.
8.  

The Caregivers and Leadership Team are approachable, open, and willing to hear my needs. Everyone considers my needs and attempts to resolve the issues. 

* required
As the person of importance to the resident, this statement is true.
9.  

My concerns and feedback are welcomed and responded to. 

* required
As the person of importance to the resident, this statement is true.
10.  

Caregivers, Leadership, and others treat me with respect and dignity.

* required
As the person of importance to the resident, this statement is true.
11.  

I am involved in planning care and services for my needs. 

* required
As the person of importance to the resident, this statement is true.
12.  

I receive care and services according to my life history, personal preferences, and goals. 

* required
As the person of importance to the resident, this statement is true.
13.  

The caregivers are caring and compassionate. 

* required
As the person of importance to the resident, this statement is true.
14.  

My doctor is responsive and addresses my questions/concerns. 

* required
As the person of importance to the resident, this statement is true.
15.  

When I am in pain or discomfort, caregivers take steps to relieve it. 

* required
As the person of importance to the resident, this statement is true.
16.  

I understand the importance of hand hygiene, and caregivers support me with this. 

* required
As the person of importance to the resident, this statement is true.
17.  

The building is clean. 

* required
As the person of importance to the resident, this statement is true.
18.  

Caregivers assist me if I am too hot or cold. 

* required
As the person of importance to the resident, this statement is true.
19.  

Laundry is returned in good repair and in a timely manner.

* required
As the person of importance to the resident, this statement is true.
20.  

Communication from the home is timely and in a manner I can understand. 

* required
As the person of importance to the resident, this statement is true.
21.  

I would recommend the Pines to others.

* required
As the person of importance to the resident, this statement is true.

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