“…Rapidly increasing numbers of elders in the long-term-care population are expected, and more emphasis is posed on the quality of life (QOL) beyond medical-oriented measurements of quality of care (QOC; Zimmerman, Sloane, & Fletcher, 2008). QOL is defined as the ability of an individual to participate in normal activities, enjoy life free from disease or pain, pursue well-being, and be capable of performing activities of daily living (Lechich, 2011). However, many factors determine an individual’s QOL: interactions between people, regulations, the community, facility staffing, and each resident’s characteristics (Zimmerman et al, 2008).…”