ursing Facilities and
Skilled Nursing Facilities. Nursing facilities provide care for
convalescent residents of all ages. The primary goal of a nursing facility is to aid
residents in their individual needs so that they may return home whenever possible.
Nursing facilities also provide services for residents that require long term care.
As always, it is important to consult with a personal physician about which type of care
is right for you or a loved one. The following checklist will provide you with a
guide of services that most nursing facilities offer their residents.License and Certification | Patient Rights/Autonomy | Cleanliness | Care
Planning | Staff Attitudes | Costs | Medical | Hospitalization | Pharmacy Services | Therapy
Program | Social Services | Accident Prevention | Fire
Safety | Bedrooms | Lobby
| Hallways | Dining
Room and Food | Kitchen | Activities Program | Special
Purpose Room | Isolation Room | Toilet Facilities | Grounds
| Religious Observances | Grooming | Location
| Your Part
Licensure
and Certification
- Does the facility have a current license
from the state?
- Does the administrator have a current
license to practice in New Mexico?
- If needed by the individual, is the
facility certified to provide Medicare and/or Medicaid coverage?
- What were the results of the last state
survey?
- Does the facility have a formal quality
assurance program?
Patient
Rights/Autonomy
- Does the facility have a written
description of patient rights and responsibilities? If so, ask for a copy.
- Is staff trained to protect patient
dignity and privacy?
- What is the facilities policy on the use
of physical and chemical restraints?
- If restraining devices are used, has every
effort been made to seek alternatives?
- Does the facility have an advanced
directives policy?
Cleanliness
- Is the facility as clean as you set your
personal standards.
- Is the facility free of unpleasant odors?
Care Planning
- Are residents involved in developing their
own care plan? If they want to be can families be involved?
- What kind of services does the facility
provide for terminally ill patients and their families?
- Does the facility have an Alzheimer's
disease program?
- Does the facility have an AIDS program?
- Does the facility have a subacute care
program?
Staff
Attitudes
- Does staff show interest in, affection,
and respect for individual residents?
- Is staff courteous to residents?
- Does staff respond quickly to residents?
calls for assistance?
- Does staff interact respectfully and in a
friendly manner with other staff?
- Is the administrator available to answer
questions, hear complaints, or discuss problems?
Costs
- Are all the services the resident requires
conferred in the basic daily charge?
- If not, is a list of specific services not
covered in the basic rate available? (Some homes have schedules covering therapies,
beautician services, specialty foods, etc.)
- Are advanced payments returned if the
patient leaves the facility?
Medical
- Is a physician available in an emergency?
- Can a resident use his or her personal
physician?
- Is regular medical attention assured?
- How are medical records and plans of care
maintained?
- Can residents and families be involved in
plans for treatment if they want?
- Is confidentiality of medical records
assured?
- Are other medical services (dentists,
podiatrists, and optometrists) available?
- Will the patient's personal physician be
notified in an emergency?
- Does the facility periodically report to
the patient's personal physician?
Hospitalization
- Does the facility have an arrangement with
a nearby hospital (in case of emergency)?
- Is emergency transportation readily
available?
- Does the facility make accommodations for
holding beds when residents are hospitalized?
Pharmacy
Services
- How are routine and emergency drugs made
available?
- How often does a pharmacist review
resident drug regimens?
- Is a pharmacist available on-site for
staff and residents?
Therapy
Program
- Is there a physical therapy program
available under the direction of a qualified physical therapist?
- Are services of an occupational therapist
and speech pathologist available?
Social
Services
- Is a social worker available on-site to
assist residents and families?
Accident
Prevention
- Is the facility well lit inside and out?
- Is the facility free of hazards underfoot?
- Are chairs sturdy and not easily tipped?
- Are handrails in hallways and grab bars in
bathrooms?
Fire Safety
- Does the facility meet federal and state
codes?
- Are exits clearly marked and unobstructed?
- Are written emergency evacuation plans
posted with a floor plan throughout the facility?
- How often are fire drills conducted?
- Are exit doors unlocked on the inside?
- Are doors to stairways kept closed?
Bedrooms
- Do bedrooms open into the hall?
- Does each resident's room have a window?
- Are rooms limited to four beds or less?
- Is there a privacy curtain for each bed?
- Is there a nurse call bell by each bed?
- Is fresh drinking water beside each bed?
- Is there at least one comfortable chair
per resident?
- Is there a clothes closet or separate set
of drawers for each resident?
- Is there enough space for a wheelchair to
maneuver?
- How are roommates selected?
- Is there easy access to each bed?
- Are patients encouraged to decorate rooms
with personal items such as pictures, crafts, etc.?
Lobby
- Is the atmosphere welcoming?
- Is the furniture attractive and
comfortable?
- Is there a bulletin board with the
activities schedule posted?
- Are certificates and licenses on display?
Hallways
- Are halls large enough for two wheelchairs
to pass easily?
- Do halls have hand grip railings?
- Are halls well lighted?
Dining Room
and Food
- Is the dining area attractive and
inviting?
- Are tables convenient for those in
wheelchairs?
- Is food tasty and attractively served?
- Is there adequate time to eat meals?
- Do meals match posted menu?
- Are those needing help receiving it?
- Does a dietician plan menus for patients
on special diets?
- Are personal likes and dislikes taken into
consideration?
- Does the menu vary from meal to meal?
- Are snacks available?
- Is food delivered to patients unable or
unwilling to eat in the dining room?
- Are warm foods served warm?
- Does staff assist residents who need help
with eating?
Kitchen
- Is the food preparation area separate from
the dishwashing and garbage areas?
- Is food needing refrigeration not standing
on counters?
- Does kitchen help observe sanitation
rules?
Activities
Program
- How are patient preferences observed?
- What kind of group and individual
activities available?
- How are residents encourage to
participate?
- Are patients involved with the surrounding
community?
- Do volunteers work with residents?
- Are outside trips planned?
- Does the facility have an active residents
council? How do residents become involved in the group?
Activity
Rooms
- Are rooms available for patient
activities?
- Is activity equipment (such as games,
easels, yarn, kiln, etc.) available?
- Are residents using available equipment?
Special
Purpose Room
- Are rooms set aside for physical
examinations or therapy?
- Are rooms available for private visits
with family and friends?
Isolation
Room
- Does the facility have at least one bed
and bathroom for residents with contagious illness?
Toilet
Facilities
- Are toilets convenient to bedrooms? Are
they easy for a resident in a wheelchair to use?
- Is there a sink in each bathroom?
- Are nurse call bells near each toilet?
- Are hand grips on or near each toilet?
- Do bath tubs and showers have non-slip
surfaces and hand grips?
Grounds
- Are the grounds easily accessible for the
handicapped?
- Is outdoor furniture available for
residents and visitors?
- Are walkways free of hazardous objects?
- Is there adequate parking?
Religious
Observances
- Are arrangements made for residents to
worship as they please?
Grooming
- Is assistance in bathing and grooming
available?
- Are barbers and beauticians available?
- Are basic personal laundry services
available?
Location
- Is the facility convenient for frequent
visits of family and friends?
- Is the facility near a cooperating
hospital?
- Is the facility convenient for the
resident's personal physician?
- Is the facility near a hospital where the
resident's personal physician practices?
Your Part
If you are selecting a nursing facility
for a loved one, are you:
- Involving this person in the choice?
- Prepared to ease the resident's transition
to the nursing facility by being with them on admission day and staying several hours to
get them settled?
- Ready to visit the resident frequently and
encourage friends to make similar visits?
Return to Top
License and Certification | Patient Rights/Autonomy | Cleanliness | Care
Planning | Staff Attitudes | Costs | Medical | Hospitalization | Pharmacy Services | Therapy
Program | Social Services | Accident Prevention | Fire
Safety | Bedrooms | Lobby
| Hallways | Dining
Room and Food | Kitchen | Activities Program | Special
Purpose Room | Isolation Room | Toilet Facilities | Grounds
| Religious Observances | Grooming | Location
| Your Part |