Lumiform / Templates / Nursing Home Inspection Checklist

Nursing Home Inspection Checklist

Use this template to inspect your nursing home for safety concerns. Make sure your patients have clean and organized amenities to enjoy while guaranteeing there are no tripping hazards present in their environment.

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Nursing Home Inspection Checklist

Audit

Grounds

Landscape maintained

Parking lot clean

Lobby

Good first impression

Free of odors

Floor maintained

General Area

Lighting adequate and operational

Temperature is comfortable

Area is free from odors

Noise level is acceptable/adequately controlled.

Ventilation is adequate

Stair treads in good condition

Handrails present, safe and secure

Electrical equipment tested, tagged and safe

Electrical switches/sockets in good condition

Furniture safe and undamaged

Other concerns

Work space free of clutter

One side of corridor being used

Hazard areas secured

Doors meet NFPA

Other concerns

Emergency

Access and egress paths clear

Fire fighting equipment easily accessible

Fire fighting equipment checked as required

Other concerns

Kitchen

Drains (floor and sink) clear and free flowing

Plumbing in good condition

Fridge clean, good condition

Microwave clean and maintained

Oven/stove safe and clean

Area free from pests or evidence thereof

Self closing doors

Breaker panels clear and lock

External

Seating available and safe

Tables safe and clean

Waste and cigarette butt bins available

Boundary fences safe and secure

Overhead structures safe and secure

Gutters and down spout is in good condition

Out Building is in good condition

Other concerns

Patio/courtyard

Cooking area clean and free from waste/rubbish

Area around Grill free of grease

Grill safe and in good condition

Gas supply secured cooker/heater

Walking path safe

Equipment secured from resident

Other concerns

Laundry

Electrical equipment in good condition

Lighting operating as designed

Floor/area free from water and being wet

Dryer filter clean

Rears of dryers clear and clean

Folding area cutter free and clean

Other concerns

Housekeeping

Clean behind and under furniture

Bathroom clean and supplied with paper towel and toilet paper

Resident rooms odor free

Residents Floors clean

Linen in good condition

Room Deep cleaning schedule is available

Other concerns in residents room

Other concerns

Boiler room and electrical rooms

Cutter free

Breaker panel labeled

Fire extinguisher

Door secured

Other concerns in boiler room

TELS

Weekly TELS task up to date

Critical managed

Fire drills current

Other concerns

Other comments

Sign Off

On site manager signature

Regional signature

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.