Nursing Home Safety Checklist Form
Nursing Home Safety Checklist Form
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Facility Name
Date of Inspection
Inspector Name
Location
General Safety and Environment
Lighting
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Adequate lighting in all common areas and resident rooms
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Emergency lighting operational
Flooring and Walkways
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Floors are clean, dry, and free of obstructions
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Handrails and guardrails are secure and in good condition
Fire Safety
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Fire extinguishers are accessible, properly labeled, and inspected
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Smoke detectors and alarms are functioning
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Emergency exit routes are clearly marked and unobstructed
Security Measures
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Doors and windows lock properly
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Entry points have restricted access
Health & Sanitation
Cleanliness
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Common areas are sanitized regularly
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Restrooms are clean and stocked with supplies
Waste Disposal
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Medical and general waste bins are clearly labeled and regularly emptied
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Hazardous waste is handled and stored per regulatory guidelines
Emergency Preparedness
Evacuation Plans
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Evacuation routes and procedures are posted and updated
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Staff is trained in emergency response
First Aid
-
First aid kits are stocked and accessible in each unit
-
Staff is trained in basic first aid and CPR
Inspector Manager
Date:
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