Free Nursing Home Orientation Checklist Form Template

Nursing Home Orientation Checklist Form

Please complete this checklist to ensure all necessary steps for orientation are covered.

Resident Information

Name

    Room Number

      Date of Orientation

        Orientation Checklist

        Task

        Yes

        No

        Welcome and Introduction to Staff

        Tour of Facility and Common Areas

        Review of Daily Schedule

        Explanation of Resident Rights

        Overview of Safety and Emergency Procedures

        Medication and Health Services Overview

        Introduction to Social and Recreational Activities

        Dining and Meal Service Orientation

        Review of Housekeeping and Laundry Services

        Review of Policies on Visitors and Communication

        Additional Notes

        Please note any additional instructions or information provided

          Signature

          Name:

          Date:

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