Nursing Home Checklist

Name of Nursing Home:
Date of Visit:
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Basic Information
The nursing home is Medicare-certified.
The nursing home is Medicaid-certified.
The nursing home has the level of care you need
(e.g. skilled, custodial), and a bed is available.
The nursing home has special services if needed
in a separate unit (e.g. dementia, ventilator, or
rehabilitation), and a bed is available.
The nursing home is located close enough for
friends and family to visit.

Resident Appearance

Residents are clean, appropriately dressed for
the season or time of day, and well-groomed.

Nursing Home Living Spaces

The nursing home is free from overwhelming
unpleasant odors.
The nursing home appears clean and well-kept.
The temperature in the nursing home is
comfortable for residents.
The nursing home has good lighting.
Noise levels in the dining room and other
common areas are comfortable.
Smoking isn’t allowed or may be restricted
to certain areas of the nursing home.
Furnishings are sturdy, yet comfortable and
attractive.

Staff

The relationship between the staff and the
residents appears to be warm, polite,
and respectful.
All staff wear name tags.
Staff knock on the door before entering a
resident’s room and refer to residents by name.
The nursing home offers a training and
continuing education program for all staff.
The nursing home does background checks
on all staff.
The guide on your tour knows the residents
by name and is recognized by them.
There are licensed nursing staff 24 hours a day,
including a Registered Nurse (RN) present at
least 8 hours per day, 7 days a week.
The same team of nurses and Certified Nursing
Assistants (CNAs) work with the same resident
4 to 5 days per week.
CNAs work with a reasonable number
of residents.
CNAs are involved in care planning meetings.
There is a full-time social worker on staff.
There is a licensed doctor on staff who is there
daily and can be reached at all times.
The nursing home’s management team
(including the Director of Nursing and the
Administrator) has worked together for at least
1 year.

Nursing Home✓ Checklist

Residents’ Rooms

Residents may have personal belongings and/or
furniture in their rooms.
Each resident has storage space (closet and
drawers) in his or her room.
Each resident has a window in his or
her bedroom.
Residents have access to a personal telephone
and television.
Residents have a choice of roommates.
Water pitchers can be reached by residents.
There are policies and procedures to protect
residents’ possessions.

Hallway, Stairs, Lounges, and Bathrooms

Exits are clearly marked.
There are quiet areas where residents can visit
with friends and family.
The nursing home has smoke detectors and
sprinklers.
All common areas, resident rooms, and
doorways are designed for wheelchair use.
There are handrails in the hallways and
grab bars in the bathrooms

Menus and Food

Residents have a choice of food items at each
meal. (Ask if your favorite foods are served.)
Nutritious snacks are available upon request.
Staff help residents eat and drink at mealtimes
if help is needed.

Activities

Residents, including those who are unable to
leave their rooms, may choose to take part in a
variety of activities.
The nursing home has outdoor areas for
resident use and staff help residents go outside.
The nursing home has an active volunteer
program.

Safety and Care

The nursing home has an emergency evacuation
plan and holds regular fire drills (bed-bound
residents included).
Residents get preventive care, like a yearly flu
shot, to help keep them healthy.
Residents may still see their personal doctors.
The nursing home has an arrangement with a
nearby hospital for emergencies.
Care plan meetings are held with residents and
family members at times that are convenient
whenever possible.
The nursing home has corrected all deficiencies
(failure to meet one or more Federal or state
requirements) on its last state inspection report. (source)