Assisted Living Checklist

RJ "When Your Loved One Needs More Then You Can Give"

Ron Joy Rehabilitation Center &

Skilled Nursing Facility

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Assisted Living Checklist

Assisted Living Checklist (1)

General assessment:
· Do you like the location and the outward appearance of the residence? yes [ ] no [ ]

· Is the decor attractive and homelike? [ ] yes [ ] no

· Did you and your potential resident receive a warm welcome? [ ] yes [ ] no

· Does the staff call residents by name and interact warmly with them? [ ] yes [ ] no

. Do residents socialize with each other and appear to be happy and comfortable? [ ] yes [ ] no

· Is staff appropriately dressed, personable and outgoing? [ ] yes [ ] no

· Are visits to the resident welcome at any time? [ ] yes [ ] no

· Is the community well designed for resident's needs? [ ] yes [ ] no

· Is the floor plan easy to follow? [ ] yes [ ] no

· Are doorways, hallways and rooms accommodating to wheelchairs and walkers? [ ] yes [ ] no

· Are handrails available to aid in walking? [ ] yes [ ] no

· Does the residence have good natural and artificial lighting? [ ] yes [ ] no

Needs assessments, contracts, costs and finances:

· Is there a written care plan for each resident? [ ] yes [ ] no

. Is there a procedure for assessing a potential residents need for services and are those needs

reassessed periodically? [ ] yes [ ] no

Medication/health care:

Is there a residence policy regarding storage of medication, assistance with medications, training and supervision of staff and record keeping? [ ] yes [ ] no

Is self-administration of medication allowed? [ ] yes [ ] no

Does a physician or nurse visit the resident regularly to provide medical checkups? [ ] yes [ ] no

Services:

Is staff available to provide 24-hour assistance with activities of daily living if needed?

Dressing? [ ] yes [ ] no Eating? [ ] yes [ ] no Mobility? [] yes [] no

Hygiene and grooming? [ ] yes [ ] no Telephone? [ ] yes [ ] no

Housekeeping in unit? [ ] yes [ ] no Transportation to doctor? [ ] yes [] no

Hairdresser? [ ] yes [ ] no Activities? [ ] yes [ ] no

Features of individual units:

. Are units for single and double occupancy available? [ ] yes [ ] no

· Do residents have their own lockable doors? [ ] yes [ ] no

· Are bathrooms private with handicapped accommodations? [ ] yes [ ] no

· Is a 24-hour emergency response system accessible from the unit? [ ] yes [ ] no

. Are residents able to bring their own furnishings for their unit? [ ] yes [ ] no

· Is a kitchen area/unit provided with a refrigerator, sink and cooking element? yes [ ] no [ ]

· May residents smoke in their units? [ ] yes [ ] no

Social and Recreational Activities:

. Are Activities provided? [ ] yes [ ] no

Food Service:

. Does the residence provide three nutritionally balanced meals/day everyday? [ ] yes [ ] no

· May a resident request special foods? [ ] yes [ ] no

· Are common dining areas available? [ ] yes [ ] no

· May residents eat meals in their units? [ ] yes [ ] no

We will be pleased to accept your collect call if you are calling for information about admissions.

Telephone: (330) 758-8106
FAX: (330) 758-7030
Postal address

SATERI HOME INC. http://saterihomeinc.com

BOARDMAN MEDICAL SUPPLY http://boardmanmedicalsupply.com

SAFETY FIRST SLEEP SOLUTIONS http://safetyfirstsleepsolutions.com

Last modified: 05/19/10