State surveys bring butterflies and stress to long term-care staff and administration. In order to survive these events, facilities must design processes that will focus on issues likely to arise during the survey. At the Delaware Valley Veterans Home in Philadelphia, they use a quality indicator meeting to address these issues. They nicknamed this meeting "Mega Meeting." Quality indicator/quality measures are discussed. Starting with dietary and weight issues, significant weight losses are reviewed with attention to whether the patient needs various interventions or testing. Next, wounds are addressed. Their facility uses a wound care team that performs weekly rounds on all residents currently having wounds. Next, the need for therapies and restorative nursing are assessed. The fourth category is restraints, followed by devices. The team reviews devices, such as wheelchairs, walkers, geriatric chairs, lap belts, lap trays, alarms, and side rails.