Nursing Home Survey on Patient Safety Culture

AHRQ sponsored the development of the Nursing Home Survey on Patient Safety Culture in response to requests for a survey in this setting. This survey is designed specifically for nursing home providers and other staff and asks for their opinions about the culture of patient safety and healthcare quality in their nursing home. It is not designed for use in assisted living facilities, community care facilities, or independent living facilities.

Nursing Home Survey Toolkit

Survey Form

  • Nursing Home Survey—English (PDF, 337 KB) (MS Word, 178 KB)
  • Nursing Home Survey—Spanish (PDF, 198 KB) (MS Word, 184 KB) (Updated July 2010 to correct an error to item B4, which duplicated the text of item B3).

Survey Items and Composite Measures

  • Nursing Home Survey Items and Composites—English (PDF, 271 KB)
  • Nursing Home Survey Items and Composites—Spanish and Description of Translation Process (PDF, 49 KB) (Updated July 2010 to correct an error to item B4, which duplicated the text of item B3).

Survey User's Guide

The User's Guide discusses issues and major decisions involved in conducting a survey and reporting the results. The User's Guide includes information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzing data, and producing reports.

  • Nursing Home Survey on Patient Safety: User's Guide (PDF, 984 KB)

Additional Resources

Frequently Asked Questions

Action Planning Tool (PDF, 368.7 KB; Word, 111.77 KB)

The Action Planning Tool assists users of the AHRQ Surveys on Patient Safety Culture to develop an action plan to improve patient safety culture in their organization.

Research Reference List

This research reference list provides citations for published articles using AHRQ Surveys on Patient Safety Culture. It includes references on the use of the surveys; psychometric analyses; analyses linking the survey to outcome data; reviews of instruments; and international studies.

Page last reviewed March 2018
Page originally created March 2012
Internet Citation: Nursing Home Survey on Patient Safety Culture. Content last reviewed March 2018. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/sops/quality-patient-safety/patientsafetyculture/nursing-home/index.html