Skip to main content

Grandson hugging grandfather

Section Links


Advancing Excellence in America's Nursing Homes

Advancing Excellence in America’s Nursing Homes is a national campaign to encourage, assist, and empower nursing homes to improve the quality of care and life for residents.

Year 5 Update Webinar. “What’s New in 2012: The Advancing Excellence in America’s Nursing Homes Campaign”

Presenters: Kristi Wergin, RN, Program Manager, Stratis Health, and Carol Benner, ScM, National Director, Advancing Excellence Campaign

This webinar is available on the Recorded Trainings page.

Setting targets for nursing homes

Providing high quality at your organization is your top priority, and setting targets is one way to ensure you are continually striving to improve the quality of care for your patients. Identifying areas for improvement and setting measurable goals are the first steps towards implementing a plan or vision for your organization.

Setting a target alone will not lead to improved clinical outcomes, but targets can increase awareness about specific topics and help your organization focus resources on specific clinical topic areas. Targets can also motivate your staff to raise the bar for quality.

Examining trends and setting targets can help you identify problem areas and prioritize quality improvement activities in your organization.

The Advancing Excellence in America’s Nursing Homes Campaign website tools can be used to set targets. Register for the Campaign and use the site for free. The goals you set are for your internal improvement purposes, are confidential, and can be changed at any time.

The Advancing Excellence Campaign is updating the goals in late 2012. You will be able to select new goals. Preview>

Current goals

Goal 1 - Staff Turnover: Nursing homes will take steps to minimize staff turnover in order to maintain a stable workforce to care for residents.

Goal 2 - Consistent Assignment: Being regularly cared for by the same caregiver is essential to quality of care and quality of life. To maximize quality, as well as resident and staff relationships, the majority of nursing homes will employ “consistent assignment” of CNAs.

Goal 3 - Restraints: Nursing home residents are independent to the best of their ability and rarely experience daily physical restraints.

Goal 4 - Pressure Ulcers: Nursing home residents receive appropriate care to prevent and appropriately treat pressure ulcers when they develop.

Goal 5 - Pain: Nursing home residents will receive appropriate care to prevent and minimize episodes of moderate or severe pain. Objectives for long stay and short stay are slightly different.

Goal 5A: Long stay (longer than 90 days) nursing home residents will receive appropriate care to prevent and minimize episodes of moderate or severe pain.

GOAL 5B: People who come from a hospital to a nursing homes for a short stay will receive appropriate care to prevent and minimize episodes of moderate or severe pain.

Goal 6 - Advance Care Planning: Following admission and prior to completing or updating the plan of care, all nursing home residents will have the opportunity to discuss their goals for care including their preferences for advance care planning with an appropriate member of the healthcare team. Those preferences should be recorded in their medical record and used in the development of their plan of care.

Goal 7 - Resident/Family Satisfaction: Nursing home staff will assess resident and family experience of care and incorporate this information into their quality improvement activities.

Goal 8 - Staff Satisfaction: Nursing home administrators will assess staff satisfaction with their work environment at least annually and upon separation and incorporate this information into their quality improvement activities.