| Facility |
Yes |
No |
N/A |
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| Are there handrails along the walls? |
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| Are the doorways wheelchair accessible? |
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| Are there safety precautions to prevent falling down the stairs? |
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| Is the floor kept dry and free of litter? |
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| In case of fire, can the facility be easily evacuated? |
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| Are fire extinguishers easy to locate? |
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| Does the facility appear clean? |
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| Are there lingering odors? |
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| Do the faucets, call buttons, telephones, and television sets work? |
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| Are heating and cooling systems adequate? |
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| Staff & Care |
Yes |
No |
N/A |
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| Is the atmosphere pleasant? Does staff genuinely enjoy working with the residents? |
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| Are residents treated as individuals? |
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| Does the staff appear interested in the residents? |
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| Is staff interested in speaking to visitor or residents? |
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| Are your questions answered clearly, frankly, and in sufficient depth? |
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| Do any other residents have similar conditions? |
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| Are residents clean and adequately dressed? |
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| Are the rights of the residents clearly posted? |
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| Is the food hot, attractive, and tasty? |
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| Are special diets available? What kinds? |
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| Do the residents have drinking water available? |
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| Are planned and varied recreational activities available? |
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| Do the listed activities seem interesting and appropriate? |
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| Do most of the people at an activity program seem to be participating? |
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| Are religious services held weekly? |
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| Administration |
Yes |
No |
N/A |
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| Is the facility in good standing with the state inspectors? |
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| Are fees competitive? |
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| Have fees increased significantly in the past few years? |
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| Is the fee structure easy to understand and reasonable? |
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| Does the institution readily reveal which services are covered in the quoted fee and which services are extra? |
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| Is Medicaid accepted? |
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| Is Medicare accepted? |
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| Are the billing and accounting procedures understandable and acceptable? |
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| Is transportation of patients provided? |
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| Does a resident advisory council exist? |
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| Are visiting hours reasonable? |
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| Do the charge nurses, social workers, department heads, and top-level administrators have geriatric experience and/or education? |
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| Are rehabilitative and therapeutic services available? |
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| Are social work or mental health services available? |
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| Are community organizations involved? |
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