Electronic medical record (EMR), has been well studied and implemented in acute care settings, although it has moved into long term settings such as post-acute care. Post-acute long term care has not been well studied in the use or implementation of EMR. EMR is how nurses record patient information and is, therefore, an integral part of the system. A local facility has several years of experience with their EMR but feels as though there have been difficulties in the full implementation and utilization of the EMR by their staff. They reached out to us with a goal of identifying the barriers affecting the staff’s usage of the EMR. The literature has identified several barriers to the utilization and implementation with EMR in the hospital or acute care setting but is less well studied in post-acute long term care. The purpose of this research was to identify barriers in the post-acute long term care use of EMR. The barriers, once identified, were then used to develop a survey tool. The survey tool was developed with the intention to gather data from post-acute long term care settings, and aims to identify the staff’s perceived barriers to the EMR. The survey tool uses Likert scale questions to achieve that goal, and the questions are based on support by the literature’s findings of barriers to EMR. In conclusion, this research is based on literature reviews that were used to create a survey tool to identify barriers in post-acute long term care.