My boss is always using the term “constant vigilance” to remind us to keep our eyes out for issues that would cause us to get a tag in a state survey. Once a year, the nursing home must undergo a state survey, where a team of surveyors come into the facility and check on all our systems. It is a stressful time, but if we always do our jobs in accordance with the rules, then we know there will be no worries when survey comes. Constant vigilance is needed year round to ensure that the needs of our residents are being met and that we are operating under proper procedure. It is also needed in our personal lives to ensure that we are making choices in accordance with our values and what we want for our future.