

Outbreak capacity and training were fragile areas among nursing homes’ contingency plans. On average, 25% of nursing homes did not have an adequate decision-making structure to respond to the pandemic. We conducted 83 follow-up calls and received 720 replies to the personnel survey. (3) Results: In total, 71% (138/195) of eligible nursing homes returned the preparedness checklist. Data analysis included descriptive statistics, exploratory factor analysis, and thematic analysis of open-end questions. Thereafter, a survey to personnel was applied. (2) Methods: We used a COVID-19 preparedness checklist to be completed by management teams, followed by follow-up calls to nursing homes. The objective of this study was to assess nursing homes’ COVID-19 preparedness in Southern Portugal, including personnel’s work experiences during the pandemic. (1) Background: Nursing homes’ preparedness in managing a public health crisis has been fragile, with effects on safety culture. (4) Conclusions: To strengthen how nursing homes cope with upcoming phases of the COVID-19 pandemic or future public health emergencies, nursing homes’ preparedness and safety culture should be fostered and closely monitored. We identified teamwork as an area of strength for safety culture, whereas compliance with procedures and nonpunitive response to mistakes need improvement. Outbreak capacity and training were areas for improvement among nursing homes’ contingency plans. We conducted 83 follow-up calls and received 720 replies to the staff survey. Thereafter, a survey of staff was applied. The objective of this study was to assess nursing homes’ COVID-19 preparedness in southern Portugal, including staff’s work experiences during the pandemic. (1) Background: Nursing homes’ preparedness in managing a public health emergency has been poor, with effects on safety culture.
