Free Nursing Home Service Checklist

Welcome to the Nursing Home Service Checklist. This tool is designed to assist individuals and families in evaluating nursing home facilities by outlining essential services and amenities. Simply review each section and tick the boxes that correspond to the offerings provided by the facility being assessed.
I. Medical Care
Skilled nursing care availability
Medical monitoring and supervision
Assistance with medication management
On-site physician availability
Regular health assessments and check-ups
II. Personal Care
Assistance with activities of daily living (ADLs) such as:
Bathing
Dressing
Grooming
Toileting
Mobility
Incontinence care, if needed
Oral hygiene assistance
Skin care and wound management
Assistance with feeding, if required
III. Nutritional Services
Provision of balanced meals meeting dietary requirements
Special dietary accommodations available:
Diabetic
Low-sodium
Vegetarian
Gluten-free
Kosher or Halal options
Snacks and hydration assistance
Nutritionist consultation available
Regular nutrition assessments
IV. Social Activities and Engagement
Recreational programs and social events
Opportunities for social interaction and community engagement
Mental stimulation activities:
Games
Puzzles
Arts and crafts
Music therapy sessions
Gardening or horticultural therapy programs
V. Safety and Security
Emergency call systems in rooms and common areas
Secure facility design and safety measures
Staff training in emergency procedures
Fire safety and evacuation plans in place
Security personnel or surveillance systems in use
VI. Physical Therapy and Rehabilitation Services
Availability of physical therapy services
Rehabilitation programs for residents requiring post-acute care or recovery Exercise programs to promote mobility and strength
Occupational therapy services available
Speech therapy services for residents with communication difficulties
VII. Emotional Support
Counseling services for emotional support and coping
Access to mental health professionals
Support groups for residents and families
Pet therapy sessions
Spiritual or religious support services
VIII. Transportation
Transportation assistance for medical appointments and outings
Accessible transportation options for residents with mobility challenges
Coordination of transportation services
Scheduled group outings or trips
Wheelchair-accessible vehicles available
IX. Housekeeping and Maintenance
Regular cleaning and maintenance of living spaces and common areas
Laundry services for residents' clothing and linens
Pest control measures
Routine safety inspections
Grounds maintenance and landscaping services
X. Communication
Effective communication channels for residents, families, and staff
Regular updates on residents' care plans and health status
Process for addressing residents' concerns and feedback
Family meetings or conferences scheduled regularly
Access to electronic health records for residents and authorized family members
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Secure peace of mind with the Nursing Home Service Checklist Template from Template.net. This editable and customizable tool empowers users to assess nursing home facilities efficiently. Featuring an intuitive AI Editor Tool, tailor the checklist to specific needs effortlessly. Ensure comprehensive evaluation with ease, guiding informed decisions for your loved ones' care.
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