Do patients look to be clean and properly groomed?
(Hair combed, shaven, nails trimmed, and manicured, etc)
Are patients appropriately dressed for time of day, activity, or
Does the facility conduct a preliminary evaluation of the resident’s
needs? (A care plan)
Can patient and family members be present during this evaluation?
____ ____ ____ How often is this care plan evaluation updated?
Does the home have an Alzheimer’s program?
Does the facility report periodically in writing to the personal
Is there a therapy program available to meet patient’s needs?
Is the therapy program on site or off premises?
DINING & FOOD
Is the kitchen area clean including the food storage area?
Is the dining area well lit and attractive?
Are personal likes and dislikes taken into consideration?
Does the dietitian plan a variety of menus for patients on special diets?
Are snacks available?
Are foods served at the appropriate temperatures?
Is food tasty and attractively served?
Is there enough staff to assist patients who need help with eating?
SOCIAL SERVICES / ACTIVITIES PROGRAM
Are rooms available for patient activities?
Is equipment (such as games, easels, yarn, cards, etc.) available?
Are residents using such equipment?
Are patient preferences observed?
Are group & individual activities available? Participation encouraged?
Are outside trips planned?
Are arrangements made for patients to worship as they please?
Is a social worker available to assist residents and families?
LICENSOR / COSTS
Does the home have a current license? If no, do not use home.
Does the administrator have a current license? If no, do not use.
Is the home Medicare and/or Medicaid Certified?
Are all services covered in the basic daily charge?
Does the facility have a written description of its services & fees?
Are advanced payments returned if the patient leaves the home?