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Skilled Nursing Bed Availability Report

Residential Care & Assisted Living Bed Availability Report

Feature Story

Choosing A Nursing Home

Click here to download this document in Word format.

A Checklist for Families

Facility: ______________________________________

Date of Visit: ______________________________________

Address: ______________________________________

Telephone: ______________________________________

Contact: ______________________________________

Directions: ______________________________________

Ask Yourself

  1. Does the home seem clean, cheerful, uncrowded? ___

  2. Is there cheerful, respectful, pleasant interaction between staff and residents? ___

  3. What is the noise level in the facility? ___
    Is it comfortable and homelike? ___
    Are there quiet places for residents? ___

  4. Are there pleasant areas for family visits? ___

  5. Do residents look clean and well groomed? ___

  6. Is the home free from unpleasant odors? ___

  7. Do the rooms appear to be appropriately decorated? ___
    Or, do they all look alike? ___

  8. Are there residents in physical restraints? ___

  9. Do residents appear to be engaged in meaningful activity by themselves or with others? ___

  10. Are the residents using the common areas? ___

  11. Do you notice a quick response to call lights? ___

  12. Are the residents crying out? ___
    If so, do they get an appropriate response from staff? ___

  13. Do the meals look appetizing? ___
    Are residents eating most of their food? ___
    Do they have help if they need it? ___

  14. Is the facility located in a convenient location for visitors? ___
Ask the Staff
  1. Is there a library, gardening, community activities, pets, and activities of interest? What activities are available? ____________________

  2. Are their walking paths, evening activities, music, and structured activities for dementia patients? What activities are available for patients with dementia? ____________________

  3. Are nursing assistants involved in the resident's care planning process? ____________________

  4. Does the facility have a satisfactory policy in place for a resident who refuses to take medication or receive treatment? What is the policy? ____________________

  5. Does the facility have a satisfactory policy in place regarding missing clothing and belongings? ____________________

  6. Are therapies provided? (Occupational, speech, physical therapy, and mental health services...) ____________________

  7. Is there a family council? ____________________

  8. Is there an ombudsman? ____________________

  9. Are residents involved in selecting roommates? ____________________

  10. Are there activities offered to meet the resident's spiritual needs? ____________________

  11. Is the facility a licensed Medicare, Medicaid, and/or private pay provider? ____________________

  12. What is the private pay rate? ____________________

  13. Is there a period of time a person must pay privately before qualifying for a Medicaid bed? How long? ____________________

  14. Is there a room currently available or when I am anticipating needing one? ____________________

Ask Residents and Families
  1. Can you get up and go to bed when you wish? What is your usual routine? ____________________

  2. Are snacks available when you want one? What are they? ____________________

  3. Do you get adequate help with going to the toilet when you need it? ____________________

  4. Is there someone you can talk to when you have a problem? Who? ____________________

  5. Do you get outside as often as you would like? ____________________

  6. What is the best thing about living here? ____________________

  7. What is the worst thing about living here? ____________________

Don't Forget!
  • Did you see a copy of the state inspection survey?
  • Are there any insufficiencies reported on the last state survey?
  • Does the Division of Aging currently license the nursing home?
Courtesy of:

The Next Step/ElderAssist
2190 S. Mason Rd. Ste. 205
St. Louis, Mo. 63131
314-821-9111

Member of the National Association of Professional Geriatric Care Managers



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