• Long-Term Care Facility Survey Checklist Form

    Please complete this checklist to evaluate the overall condition and operations of the long-term care facility.
  • Safety and security measures in place*
  • Quality and variety of meals provided*
  • Medication management procedures*
  • Facility environment (lighting, noise, temperature)*
  • Communication with residents and families*
  • Rows
  • Should be Empty:
Select theme:
  • Default
  • Blue
  • Red
  • Brown
  • Green
  • Black
  • Pink
  • Dark Blue
  • Purple