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01), receiving services which met needs for assistance with activities of daily living (p 0.01), and having higher levels of social participation (p 0.001) were associated with higher QoL scores. Of the 19 service outlets, 21% (n= 4) had lower mean risk-adjusted QoL scores than expected ( 95% control limits) and 16% (n= 3) had higher mean scores than expected. Using QoL as an indicator to compare care quality may be feasible, with appropriate risk adjustment. Implementing QoL tools allows providers to measure and monitor thei