51 | Assessment of quality of life and resident satisfaction in the nursing homes of “Casa di Dio” foundation

A. Ranzenigo, M. Montessori, C. Ceresa, S. Mosconi | Fondazione Casa di Dio, Brescia.

Introduction. In January 2026, a survey assessed quality of life and satisfaction among residents of Nursing Homes (NHs) managed by Casa di Dio Foundation. This study is part of a quality improvement effort, to identify issues and areas of excellence. Understanding residents’ well-being is increasingly important as NH populations become older and more clinically complex. The adopted framework was a Maslow-inspired multidimensional model, covering needs from basic physiological requirements to self-actualisation and well-being.

Material and Methods. Seven trained interviewers conducted 15-minute semi-structured interviews with residents cognitively able (MMSE ≥14). The questionnaire included 13 items from the “Quality_VIA” tool and 5 from the WHO-5 Well-Being Index. 127 of 460 residents (27.6%) completed interviews in four NHs in Brescia.

Results. Most residents reported satisfaction with meals (82%), sleep quality (80%), and the care received (90%). Environmental comfort and cleanliness were highly rated (95–98%), and privacy during care procedures was appreciated by 94%. Relationships with staff were generally positive (87%), although only 60% were satisfied with autonomy over daily routines. Recreational activities were limited due to influenza-related restrictions, affecting satisfaction (60%). WHO-5 results indicated that 46.5% reported optimal well-being, 48.8%) experienced distress, and 4.7% exhibited possible depressive symptoms.

Conclusions. Residents are increasingly older, more clinically complex, and at higher risk of psychological distress. While material and environmental aspects of care are highly rated, nearly half of residents experience mental health challenges. The findings underscore the need to promote autonomy, self-determination, and self-actualisation alongside traditional care. In response, the Foundation has implemented interventions to enhance subjective well-being, ensuring care that addresses both physical and emotional needs.