LEI Survey & Criteria Resource Guide

The resources provided here are certainly not the only ones available to help guide your community in LGBTQ+ person-centered care; however, we hope they can help you get started on implementing best practices in equitable and inclusive care for LGBTQ+ residents, visitors, and staff.

The LEI Scoring Criteria Overview

The LEI promotes LGBTQ+ inclusive policies and practices in residential long-term care and senior housing. The LEI criteria consist of emerging best practices known to improve the experiences of LGBTQ+ older adults, visitors, and staff.

The LEI has four core objectives which are reflected in its survey criteria:

• Ensure foundational non-discrimination protections for residents, visitors, and staff and provide training in LGBTQ+ Resident Centered Care
• Demonstrate progress towards inclusion of LGBTQ+ resident services and support
• Foster an inclusive workplace by providing LGBTQ+ inclusive employee policies and benefits
• Demonstrate engagement with and a public commitment to the LGBTQ+ community

Criteria 1: Non-Discrimination and Staff Training

The Non-Discrimination and Staff Training criterion represents policies and practices that are considered foundational to LGBTQ+ resident-centered care. The section includes important elements that should be completed first and which, when complete, will provide a strong base from which to grow. The resource pages include sample policies and examples of how long-term care communities and senior housing providers can meet this criterion. 

Criteria 2: Resident Services and Supports

This criterion includes a wide variety of best practice recommendations drawn from federal nursing home regulations under the Centers for Medicaid and Medicare Services (CMS), guidance from the National Long-Term Care Ombudsman Program, and additional research and reports regarding the needs of LGBTQ+ older adults living in long-term care and senior housing communities. Three subsections compose this criterion.

Criteria 3: Employee Benefits & Policies

This criterion is designed to familiarize communities with best practices to promote equity and inclusion for LGBTQ+ employees. It is critical that LGBTQ+ employees, like LGBTQ+ residents, receive equal treatment, particularly vis-à-vis health-related benefits and policies. 

Criteria 4: Resident & Community Engagement

This criterion helps long-term care communities ensure that 1) LGBTQ+ residents are connected to the larger LGBTQ+ community and 2) that the long-term care or senior housing community builds relationships with the larger LGBTQ+ community.