| Leadership Domain | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| Communicates effectively with residents, families, significant others and other team members | |||||
| Communicates effectively with peers, physicians, and State agencies | |||||
| Coordinates resident care to the multidisciplinary team via at-risk meetings, QA and A, rehab meetings, etc. | |||||
| Provides updated resident information to physician, resident, family, legal, consultants, State agencies in accordance with regulations and/or BHC standards | |||||
| Knowledgeable and able to execute human resource policies as applicable to a variety of people issues | |||||
| Delegates as appropriate | |||||
| Actions demonstrate excellent customer service skills and builds relationships with families and associates | |||||
| Monitors the progress of others and associates are held accountable | |||||
| Enforces regulatory and employee law compliance | 
| Technical Domain | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| Assesses and monitors staff compliance of infection control and safety programs | |||||
| Demonstrates excellent technical skills and judgment, as evidenced by: Daily Start up execution, Follow-up 24-hour report, Computer reports, Medicare Reports, 672/802 | |||||
| Assesses and monitors accuracy of Facility Scorecard and CMS quality indicator data and initiates corrective action as indicated | |||||
| Actively participates and contributes to facility QA & A meetings, QR/QRFU and process improvement activities | |||||
| Promotes survey preparedness at all times | |||||
| Demonstrates basic working knowledge of Computer i.e. ADT, PO's, MDS modules and management reports | |||||
| Demonstrates basic understanding of quality event investigating and reporting process | |||||
| Maintains a current knowledge of LTC Federal, state regulations including Medicare, Medicaid and JCAHO as applicable | |||||
| Ensure that RAI functions are completed timely for all residents, i.e. concurrent review, State submissions, care plan meetings, etc. | |||||
| Assess and ensure execution of Facility standards, protocols and policies | |||||
| Provides and monitors the effectiveness of clinical orientation and ongoing training to all associates | |||||
| Actively participates in recruiting, hiring and orientation of all associates | 
| Problem Solving Domain | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| Utilizes the nursing process to structure care to individual resident's needs | |||||
| Demonstrates the ability to assess and interpret data about the resident's status and ensure timely interventions are executed | |||||
| Collaborates with DNS/ Consultants on identified areas of noncompliance and implements necessary corrective actions | |||||
| Effectively troubleshoots and ensures allocation of staffing resources to meet the needs of the residents/patients | |||||
| Demonstrates understanding of census as it relates to HOL, expense control and budgeted PPD, i.e. nursing supplies | |||||
| Assess and monitors discharge, rehospitalization patterns and implements corrective actions as indicated | 
| Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| Infant (Birth - 1 year) | |||||
| Preschooler (ages 2-5 years) | |||||
| Childhood (ages 6-12 years) | |||||
| Adolescents (ages 13-21 years) | |||||
| Young Adults (ages 22-39 years) | |||||
| Adults (ages 40-64 years) | |||||
| Older Adults (ages 65-79 years) | |||||
| Elderly (ages 80+ years) | |||||
| Elderly (ages 80+ years) |