Retirement and nursing homes home in Lower Austria actively offers late mealtimes and even provides these at night if desired. Afternoon and evening entertainment was introduced in a facility for senior citizens in Styria at the request of the residents. New concepts for guaranteeing that residents regularly spend time outside and a more extensive activity plan were developed by facilities in Vienna and Tyrol for example, and brought to the attention of the commissions. In one home in Lower Austria, the hitherto practice of “set” shower days was replaced by a more flexible alternative after the visit by the commission. “Remembrance areas” commemorating those who have passed away were made more appealing. Directly after the commission’s visit, a facility in Upper Austria gave all residents without serious cognitive impairments front door keys, which they had been denied until then. Screens for safeguarding privacy in double rooms were bought for the first time in a nursing home in Burgenland. Dividing curtains were hung up in a retirement home in Upper Austria. Measures for relieving the staff Attempts to relieve staff were another consequence of NPM activity. Teambuilding days were therefore introduced in a facility in Lower Austria, shift lengths restructured and special staff rest areas created. The installation of a night shift could also be achieved in a few isolated cases. Increased further training was often announced as a consequence of the commissions’ visits. One facility in Lower Austria thus provided training in hospice and palliative care for the majority of staff. A senior citizens’ home in Tyrol acted on the recommendation of further training on violence prevention and validation for example. Training on dealing with persons suffering from dementia was held in a facility in Salzburg. The NPM is of the opinion that supervision should be available in all nursing homes. Commissions were told in a retirement and nursing home in Salzburg and in Burgenland that individual and group supervision offers are perceived by nursing staff as an enormous relief. In a facility in Lower Austria, there is a life and social counsellor available to the staff whom they can contact with work-related or private problems. Fall management Some facilities recognised the knowledge deficits identified by the NPM with respect to professional fall management. One Tyrolean facility thus declared fall prevention to be the main focus of further training in 2017 and hired a new member of staff for this purpose. Pain management In the year under review, the commissions again recommended setting pain management measures based on the current nursing standards and introducing tools for assessing pain in patients with advanced dementia (PAINAD scale). This was also confirmed. Accessibility of call buttons and alarm systems Many facilities inspected and optimised the height and accessibility of call buttons in all rooms after the express recommendation from the NPM. One Styrian facility now also offers those in need mobile call buttons in the form of wristbands. The NPM is fully aware that residents suffering from dementia sometimes activate the alarm systems to get attention and care without there being an “obvious emergency situation”. They often do this repeatedly and at 40