“…Given that, in a situation of comprehensive care for vulnerable nursing home residents, the improvement or preservation of health is not the only goal, this limitation is a point of critique. Favored are tools that also consider other relevant aspects such as safety, meaningful experiences, and self-determination (Arling, Kane, Lewis, & Mueller, 2005; Cooney, Murphy, & O’Shea, 2009; Kelley-Gillespie, 2012; Saks, Tiit, Muurinen, Mukkila, Frommelt, & Hammond, 2008; Shippee et al, 2013).…”