NABH Care Home Accreditation Checklist

NABH Care Home Audit Checklist to help care home managers assess compliance with India's NABH standards for patient safety, staff competency, and quality care delivery.

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NABH Care Home Accreditation Checklist

Governance And Leadership

9. The organisation promotes its purpose and values through written documents, electronic boards, brochures, or social media, and measures adherence through a resident satisfaction index; corrective and preventive actions on resident suggestions are monitored by management. [ROM.2.e — Excellence]

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Risk Management And Outsourced Services

Electrical Safety And Hazardous Materials

Equipment And Maintenance

Fire And Emergency Preparedness

1. A documented fire and emergency plan is in place covering fire arising from infl ammable items, electrical short-circuiting, explosion, and staff negligence; the plan includes evacuation procedures, mock drill schedules, and emergency illumination. [FMS.5.a — CORE]

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Safe Environment And Infrastructure

Space, Signage, And Utilities

5. The organisation takes documented initiatives towards energy efficiency and environmental sustainability, including measures such as energy-efficient lighting, rainwater harvesting, solar power use, STP/ETP water recycling, and reduction of plastic usage. [FMS.2.d — Excellence]

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Emergency And Epidemic Preparedness

2. Emergency and first aid medications are stored in a safe, lockable space; first aid kits include thermometer, glucometer, pulse oximeter, dressing materials, betadine solution, cotton gauze, and over-the-counter medicines; staff know the location and contents of the kit. [HHIC.3.b]

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End-of-life Care

Healthcare-associated Infection Prevention

Nutrition And Food Safety

2. The kitchen is clean, pest-free, and adequately ventilated; food preparation, handling, storage, and distribution follow documented hygiene protocols including separation of raw and cooked items, dedicated preparation areas, and no cross-traffic. [HHIC.2.b]

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Sanitation And Personal Hygiene

2. At least one easily accessible handwashing basin with running water, soap, and hand-drying provision is available in every area; hand hygiene steps are displayed near every handwashing point; staff and residents are trained on hand hygiene. [HHIC.1.b — CORE]

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4. Toilets and bathrooms have round-the-clock running water; fittings are functional at all times; separate toilets for males and females are available; toilets are cleaned at least twice a day and bathrooms at least once a day, with a cleaning checklist maintained. [HHIC.1.d — CORE]

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7. Cleaning and housekeeping staff cover all areas of the premises; periodicity and quality parameters for cleaning are defined; approved disinfectants are used at correct dilutions; cleaning registers and schedules are maintained. [HHIC.1.g — CORE]

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Vulnerable Residents

Social Engagement Programme

1. A regular programme of social activities and events is in place, including games, cultural programmes, and community interaction activities held at least once every three months; activities are flexible and based on resident preferences. [REW.1.a — CORE]

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Wellness And Recreation Programme

Complaints And Feedback

Protection From Abuse

Rights Charter And Promotion

Staffing And Qualifications

Training, Performance, And Welfare

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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NABH Care Home Accreditation Checklist

NABH Care Home Audit Checklist to help care home managers assess compliance with India's NABH standards for patient safety, staff competency, and quality care delivery.

1. Roles and responsibilities of those responsible for governance are defined, documented, and available for review. [ROM.1.a — CORE]

2. The governance body has formally approved the current strategic and operational plans, including capital and operational budget. [ROM.1.b]

3. Reports of safety and quality improvement committee discussions are shared with governance, and funds are allocated for corrective and preventive actions. [ROM.1.c — CORE]

4. The vision, mission, and values of the organisation are displayed prominently on-site and communicated to all stakeholders, including in the local language. [ROM.2.a]

5. Services offered by the facility are defined and displayed prominently in an area visible to residents and visitors, in bilingual format, including clearly stated exclusions. [ROM.2.b]

6. Ownership of the organisation is disclosed, supported by a registration certificate from an appropriate authority. [ROM.2.c]

7. A standardised format for initial resident assessment is in use, covering demographic details, social and financial assessment, health assessment, medication reconciliation, and nutritional screening. [ROM.2.d]

8. Performance of services is communicated to the public through display, brochures, or the website, including resident feedback, third-party survey results, and benchmarking outcomes. [ROM.1.d — Excellence]

9. The organisation promotes its purpose and values through written documents, electronic boards, brochures, or social media, and measures adherence through a resident satisfaction index; corrective and preventive actions on resident suggestions are monitored by management. [ROM.2.e — Excellence]

10. The person heading the organisation has appropriate administrative qualifications and relevant experience in a care home, old age home, or healthcare setting. [ROM.3.a]

11. A designated manager or in-charge is available during normal working hours to supervise daily operations. [ROM.3.a]

12. All applicable licenses and registrations (registration certificate, shop act, fire NOC, and other statutory requirements) are current and valid. [ROM.3.b — CORE]

13. An annual operational budget covering food, laundry, staff salaries, facility maintenance, utilities, and other activities has been prepared and approved by governance. [ROM.4.a]

14. Measurable service standards are documented and monitored at a defined frequency. [ROM.4.b]

1. A documented risk management plan is in place covering identification, analysis, prioritisation, and mitigation of risks (including resident falls, fire, food poisoning, electrical failure, flooding). [ROM.5.a — CORE]

2. All outsourced services are covered by documented agreements specifying service parameters, quality expectations, reporting requirements, timelines, and a dispute resolution mechanism. [ROM.5.b]

3. Quality of outsourced services is monitored regularly and improvements are documented where required. [ROM.5.b]

1. All electrical circuits are fitted with MCB and ELCB. [FMS.3.b — Commitment]

2. Electrical cables are not co-routed with water mains, gas pipes, or communication lines. [FMS.3.b — Commitment]

3. Adequate lighting with power backup is provided in corridors, lobbies, lifts, and staircases; emergency lights are installed in staircases and corridors. [FMS.3.b — Commitment]

4. Hazardous materials are identified, documented, and handled as per a written procedure covering sorting, storage, handling, transportation, and disposal; a spill management plan is implemented. [FMS.3.c — CORE]

1. A documented operational and preventive maintenance plan covers all utility and engineering equipment, with inventory records, calibration logs, and written guidance for equipment replacement and disposal maintained. [FMS.4.a — Achievement]

2. Maintenance staff or a responsible agency is contactable round the clock for emergency repairs; downtime for critical equipment from reporting to resolution is monitored and documented. [FMS.4.b — Achievement]

1. A documented fire and emergency plan is in place covering fire arising from infl ammable items, electrical short-circuiting, explosion, and staff negligence; the plan includes evacuation procedures, mock drill schedules, and emergency illumination. [FMS.5.a — CORE]

2. At least one designated person responsible for evacuation support is present at all times. [FMS.5.a — CORE]

3. Mandatory fire department permissions and local bye-law compliance are in place and current. [FMS.5.a — CORE]

4. Exit plans are displayed on each floor, near lifts, and inside all enclosed areas; exit doors are unobstructed and fitted with push bars where required; staircases and corridors are free of obstruction. [FMS.5.b]

5. Mock drills for fire and non-fire emergencies are conducted at least twice a year, with records maintained. [FMS.5.c]

6. Fire-fighting equipment is inventoried, adequately stocked, and maintained through regular service, with a status register updated after each inspection. [FMS.5.d]

1. Ramps with correct inclination and gradients are installed and in good condition. [FMS.1.a — CORE]

2. Call bells are installed at bedsides and are accessible to bedridden and immovable residents. [FMS.1.a — CORE]

3. Grab rails and handrails are installed in bathrooms, along corridors, and on staircases at standard heights. [FMS.1.a — CORE]

4. Easy-grip, lever-type door handles are installed across the facility. [FMS.1.a — CORE]

5. Where applicable, barrier-free access for differently abled residents is provided, including wheelchair-accessible bathing facilities and staircases designed to disability standards. [FMS.1.b]

6. The facility name, complete address, and nature of services are displayed prominently at the entrance. [FMS.1.c — CORE]

7. A separate office/reception and visitors' area is available for privacy. [FMS.1.c — CORE]

8. Adequate sleeping materials, storage space for personal belongings, and gender-separated sleeping areas are provided. [FMS.1.c — CORE]

9. Regular facility safety rounds are conducted using a checklist, with documented inspection reports and corrective and preventive actions. [FMS.1.d]

1. Each resident is provided a minimum of 7 sqm in a single-occupancy room or 5 sqm in a multiple-occupancy room. [FMS.2.a]

2. Internal and external signage is clear, bilingual or pictorial, and meets statutory requirements; fire exit and refuge area markings are clearly visible. [FMS.2.b — CORE]

3. Potable water and electricity are available round the clock, with tested backup sources for both. [FMS.2.c — CORE]

4. Hot water is provided daily at designated times for bathing and washing. [FMS.2.c — CORE]

5. The organisation takes documented initiatives towards energy efficiency and environmental sustainability, including measures such as energy-efficient lighting, rainwater harvesting, solar power use, STP/ETP water recycling, and reduction of plastic usage. [FMS.2.d — Excellence]

6. Access control is in place at the facility entrance, with a visitor log maintained; key areas are under CCTV surveillance with recordings retained for at least one year. [FMS.3.a]

1. Basic life support equipment and emergency medications are available in appropriate areas of the facility; at least one staff member per shift is trained in BLS. [HHIC.3.a]

2. Emergency and first aid medications are stored in a safe, lockable space; first aid kits include thermometer, glucometer, pulse oximeter, dressing materials, betadine solution, cotton gauze, and over-the-counter medicines; staff know the location and contents of the kit. [HHIC.3.b]

3. A list of nearby hospitals (public and private) is documented for referral; ambulance services (own or outsourced) are available; written guidance on how to call for patient transport and who has authority to do so is in place. [HHIC.3.c]

4. Written guidance on informing the next of kin or family in case of a health emergency is documented and implemented; consent procedures when a resident cannot decide for themselves are defined. [HHIC.3.d]

1. A documented procedure for handling death covers medical consultation, death certification, legal documentation, notification of next of kin, funeral arrangements, and bereavement support. [HHIC.5.a]

2. Written guidance for last rites is in place covering body preparation, washing under universal precautions, transportation, and adherence to the deceased's will or religious wishes; family members are notified. [HHIC.5.b]

1. Strategies and systems for health and safety of staff, volunteers, residents, caregivers, and visitors are documented and implemented; periodic health checks are carried out as per policy. [HHIC.6.a — CORE]

2. An immunisation programme consistent with national/WHO guidelines is in place for staff and residents; vaccination records are maintained. [HHIC.6.b — CORE]

3. Biomedical and solid waste is segregated as per Solid Waste Management Rules 2016 (organic, inorganic, hazardous); waste is collected by an authorised agency. [HHIC.6.c]

4. Adequate masks, gloves, and sanitiser are available and accessible to staff and residents when required. [HHIC.6.d]

5. Standard and transmission-based precautions are implemented and monitored; staff have access to appropriate PPE as per government guidelines. [HHIC.6.e]

1. A weekly menu meeting minimum daily calorie and nutrient requirements is in place, prepared as per a nutritionist's recommendations, and displayed for residents. [HHIC.2.a — CORE]

2. The kitchen is clean, pest-free, and adequately ventilated; food preparation, handling, storage, and distribution follow documented hygiene protocols including separation of raw and cooked items, dedicated preparation areas, and no cross-traffic. [HHIC.2.b]

3. Adequate crockery, cups, glasses, and cooking vessels are available; cutlery and crockery are cleaned after use and stored in a closed, clean place. [HHIC.2.c]

4. Refrigerators are available for food storage; vegetarian and non-vegetarian items are stored separately; refrigerators are cleaned and maintained regularly. [HHIC.2.d]

1. Safe drinking water is available to all residents at all times, with an alternative source identified. [HHIC.1.a — CORE]

2. At least one easily accessible handwashing basin with running water, soap, and hand-drying provision is available in every area; hand hygiene steps are displayed near every handwashing point; staff and residents are trained on hand hygiene. [HHIC.1.b — CORE]

3. A separate, preferably open and sunlit, clothes-drying area is available. [HHIC.1.c — CORE]

4. Toilets and bathrooms have round-the-clock running water; fittings are functional at all times; separate toilets for males and females are available; toilets are cleaned at least twice a day and bathrooms at least once a day, with a cleaning checklist maintained. [HHIC.1.d — CORE]

5. Adequate closed-lid waste bins in correct colour-coded categories are placed in resident rooms, common spaces, kitchen, and bathrooms; waste is handed over to an authorised local authority collector. [HHIC.1.e — CORE]

6. Mosquito and pest control measures are in place, including window and door screening, insecticide sprays or fogging, and bed bug control; residents are provided personal protective measures where needed. [HHIC.1.f — CORE]

7. Cleaning and housekeeping staff cover all areas of the premises; periodicity and quality parameters for cleaning are defined; approved disinfectants are used at correct dilutions; cleaning registers and schedules are maintained. [HHIC.1.g — CORE]

1. Vulnerable residents are identified and documented; written guidance for their identification and management is in place and implemented. [HHIC.4.a — CORE]

2. Fall risk assessment is carried out for all residents; the facility is checked for fall hazards and corrective actions are taken; staff are trained to identify residents at risk of falls. [HHIC.4.b]

3. Residents prone to bedsores are identified through periodic risk assessment; management protocols are followed as per documented risk level. [HHIC.4.c]

4. Trained staff are assigned to bedridden residents; appropriate aids (air beds, periodic repositioning schedule) are available and in use. [HHIC.4.d]

5. A dedicated isolation room for sick residents is available; staff and visitors entering the room wear appropriate PPE; other residents are protected from potential infection. [HHIC.4.e]

6. Staff training on empathy and compassionate care is conducted periodically; empathy standards during resident illness and isolation are observed. [HHIC.4.f]

1. A regular programme of social activities and events is in place, including games, cultural programmes, and community interaction activities held at least once every three months; activities are flexible and based on resident preferences. [REW.1.a — CORE]

2. Physical exercise activities are planned based on residents' physical capabilities; disabilities such as visual, hearing, and cognitive impairments are considered; residents can choose activities of their interest. [REW.1.b]

3. Newspapers, TV, radio, and reading materials are available in the common area; internet access is provided where feasible. [REW.1.c]

1. Designated areas for recreation and congregation of residents are available, with comfortable seating arrangements proportionate to the number of residents. [REW.2.a — CORE]

2. A minimum set of therapeutic recreational activities is available for residents, including options such as indoor games, painting, trivia, and card games. [REW.2.b]

3. Periodic outside visits or interactions with the broader community, family, and friends are organised, taking into account residents' religious, cultural, linguistic backgrounds, gender, and disability or communication needs. [REW.2.c]