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

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.

Additional Resources

The SOPS program offers resources to assist survey users, including an Action Planning Tool, Data Entry and Analysis Tool, resource lists, research reference lists, and frequently asked questions.

Webcasts, Presentations, and Announcements

Learn more about the AHRQ-sponsored webcasts, presentations, and announcements on the SOPS program.


Page last reviewed March 2019
Page originally created March 2012
Internet Citation: Nursing Home Survey on Patient Safety Culture. Content last reviewed March 2019. Agency for Healthcare Research and Quality, Rockville, MD.
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