Nursing Home Safety Checklist

Use this Nursing Home Safety Checklist to inspect the environment, hygiene practices, staff training, and more, ensuring facilities meet safety standards.

Nursing Home Safety Checklist



Nursing Home Information

1. What is the name of the nursing home?


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2. What is the address of the nursing home?


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3. What is the contact person's name?


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4. What is the contact phone number or email address?


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General Information

1. Is the facility Medicare-certified?


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2. Is a valid license posted?


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3. Is the latest state survey or inspection report available for review?


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4. Has the facility corrected all deficiencies (federal or state) identified in its latest inspection report?


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5. Has the license ever been revoked?


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6. Is there a waiting period for admission?


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7. Is the level of care needed offered and a bed available?


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8. Are special services (dementia, ventilator, rehab) needed to be offered in a separate unit and a bed available?


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9. Is the facility located close enough to friends and family?


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Financial And Legal Information

1. What is the base monthly fee?


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2. What services are included in that fee?


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3. If care is covered by Medicare, what are the out-of-pocket costs?


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4. Is a deposit required?


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5. Are payment plans available?


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6. What are the additional services available and what are their costs?


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7. What is the procedure for when fees are changed?


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8. If a resident is hospitalized or placed in other care, how long will his or her bed be held, and at what cost?


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9. If a resident leaves the facility, are the advanced payments returned?


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10. What are the reasons for discharge? How much notice is given and to whom?


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11. Is there an acceptable internal appeal and/or grievance process?


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12. What are the eviction procedures?


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13. Does the facility offer a separate insurance policy that covers residents’  personal property? 


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14. Who is responsible for repairs or replacement after spills or accidents that destroy the facility or resident’s property?


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Personal And Health Care

1. Are residents encouraged to be as independent as possible?


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2. Are residents allowed to make choices about their daily routines? 


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3. Are assessments performed on residents to assess needs regularly? 


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4. Can the facility accommodate resident’s changing needs?


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5. Does the facility have the ability to determine the cause of confusion a resident may develop (medications vs. dementia or Alzheimers’)?


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6. Does the facility have the ability to deal with a resident’s behavior that may change and become abusive?


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7. Are there any limitations on how the staff will handle medications? 


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8. Are there safeguards in place to ensure that medications are taken correctly?


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9. Is a pharmacist available?


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10. Does window glare make it difficult to see?


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11. Who dispenses medications?


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12. Do residents receive preventive care such as yearly flu shots? 


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13. Does the facility monitor residents’ health including weight? 


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14. Does staff routinely check each resident thoroughly to avoid bed sores?


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15. May residents still see their doctors? 


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16. How will the physician and facility communicate about the resident’s care?


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17. Are there healthcare facilities available at the facility (physical therapy, wound care, hospice care, social services, etc.)?


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18. Are there various medical services available (dentist, podiatrist,  optometrist)?


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19. Will the staff set up appointments for residents?


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20. Does staff respond quickly when residents push the call buttons?


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21. Does the facility have an arrangement with a nearby hospital for emergencies?


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22. Does the facility call family or a personal doctor when emergencies arise?


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23. Does the facility use physical or chemical restraints?


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24. Is there a beauty salon or barber available?


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25. Are laundry services available?


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Plan Of Care

1. Does the facility prepare a written plan for how it will care for residents?


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2. Are certified nursing assistants involved in care planning meetings?


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3. Are care plan meetings held with residents and family at convenient if possible?


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4. How will the family be involved in the plan?


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5. Does the plan cover all aspects of a resident’s life (physical, mental,  social and medical)?


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6. Is the plan and any medical records stored, and is confidentiality guaranteed?


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7. Does a pharmacist review individual drug treatment plans?


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Residents

1. Are residents clean, appropriately dressed for the season or time of day, and well-groomed?


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2. Are residents interacting with each other and appear content and engaged?


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3. What is the average age of the residents?


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4. What do residents like best?


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5. What do residents like least?


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6. What is daily life like at the facility?


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7. Are most residents at the same level of mental function?


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8. Is there a resident and/or family council? How often does it meet? Has the council taken any action recently?


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9. Are residents’ rights posted and does the facility follow a resident’s bill of rights?


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10. Do residents have the right to come and go as they please?


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11. Is mail delivered promptly and unopened? Can residents have subscriptions to magazines and newspapers?


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Environment

1. Are there any overwhelming unpleasant odors?


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2. Is the facility clean and well-kept?


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3. Is the temperature comfortable for residents?


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4. Is the facility well-lit?


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5. Are there quiet and/or private areas for visiting?


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6. Are noise levels in common areas comfortable?


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7. Is smoking forbidden or restricted to certain sections of the facility?


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8. Are furnishings comfortable, sturdy, and attractive?


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9. Are the buildings and grounds well cared for and attractive?


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Staff

1. Is the staff visible?


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2. Does the staff wear name tags?


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3. Does the relationship between staff and residents appear to be polite, warm, and respectful?


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4. Are the staff friendly, considerate, and helpful? 


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5. If residents or staff are not native English speakers, can they communicate effectively with each other?


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6. Is the staff’s morale upbeat?


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7. Does the staff refer to residents by name and knock before entering a resident’s room?


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8. Are training and continuing education programs available to all staff? 


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9. Does the staff receive abuse prevention training?


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10. Are background checks completed for all staff? 


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11. Does the tour guide know residents’ names and is recognized by residents? 


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12. Is there at least one full-time registered nurse (RN) on duty around the clock besides the administrator or director of nursing? 


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13. Who is the director of nursing?


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14. Does he or she hold a current state license?


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15. Is the administrator or director of nursing available to answer questions,  hear complaints, or discuss problems and concerns? 


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16. Does the same team of nurses work with the same residents most days of the week?


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17. How long are nurse’s shifts?


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18. Is the ratio of Certified Nursing Assistants to residents reasonable at all times? 


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19. Is the ratio of aides to residents reasonable at all times? 


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20. Are staff expected and trained to handle emergencies? 


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21. Is there at least one full-time social worker on staff?


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22. Is a licensed doctor on staff and on-site daily? 


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23. Has the management team worked together for at least one year?


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Residents’ Room

1. Is the living space adequate?  


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2. Is it well-lit? 


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3. How often is the room cleaned?


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4. Can residents have personal belongings and/or furniture in their rooms?


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5. Does each resident have storage space in his or her room? 


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6. Is there a window in every resident’s room? 


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7. Do residents have access to a personal telephone, internet, and television?


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8. Is there a cable TV connection in each room? 


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9. Are doors shut when a resident is being dressed or bathed? 


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10. Are water pitchers within a resident’s reach?


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11. Do policies and procedures exist to protect residents’ possessions?


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12. Are call buttons near each bed or do residents wear a device instead?


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13. Is there a private bathroom? 


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14. How often is it cleaned?


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15. Is there a call button in the bathroom?


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16. How many residents per room?


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17. Is there a privacy curtain around each bed or between beds? 


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18. What is the policy if roommates don’t get along? How does the facility deal with conflict?


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Menus And Food

1. Do residents have a choice of food items at each meal? 


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2. Is there enough time to eat at meals? 


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3. Are favorite foods offered? 


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4. Does the food look and smell good? 


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5. Are special dietary needs accommodated?


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6. Are nutritious snacks available upon request?


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7. Can staff help residents eat at mealtimes if needed? 


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8. Is the meal schedule flexible? At what times are meals served? 


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9. Does a nutritionist or dietician review meals and special diets?


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10. Can a meal tray be delivered to a resident’s room? 


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11. Is the food prep separated from the dishwashing and garbage areas?


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12. Is food requiring refrigeration properly stored?


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13. Do kitchen workers observe sanitation rules?


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Activities

1. Are residents (even those who are unable to leave their rooms) able to choose to take part in activities? Are they encouraged (but not pushed) to participate? 


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2. Are activity schedules varied and include the resident's interests and do they provide input? 


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3. Is there someone with adequate training who develops and supervises recreational activities? 


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4. Is reading assistance available?  


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5. Does the facility have pleasant outdoor areas for resident use? 


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6. Does the staff help residents go outside? 


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7. Are there protected/enclosed areas for residents with dementia? 


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8. Are residents involved in the community outside of the facility? If so, how?


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9. Is there a game room or other recreational facility on site? 


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10. Are there adequate facilities for residents to exercise? 


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11. Does the facility have a volunteer program, and if so, are volunteers thoroughly screened?


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12. What is the visiting policy?


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13. Does the facility have pets?  


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14. Can family pets come with visitors? 


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15. How does the facility accommodate religious or spiritual needs?


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Safety And Security

1. Is there a security checkpoint at the entrance?


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2. Does the facility meet local, state, and federal fire codes? 


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3. Are emergency exits marked, accessible, and opened from the inside?  


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4. Are there fire safety systems in place? 


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5. Is there an emergency evacuation plan and is it posted?


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6. Does the facility hold regular fire drills that include bed-bound residents?  


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7. Are exit doors alarmed?  


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8. Are there safety locks on windows? 


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9. Are there handrails in the hallways and grab bars in the bathrooms?


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10. Are stairway doors kept closed to prevent the potential spread of fire?


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11. Are facility doors locked? How do residents or family members get in when the doors are locked?


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12. Is the facility wheelchair accessible?


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13. Is the floor covering made of non-skid material?


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14. Is the building generally free of clutter?


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15. Are safety measures in place to protect residents from wandering?


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16. Is there an emergency generator or alternate power source?


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17. Are there written policies about when 911 is called and who decides to call?


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Transportation

1. How does the facility handle transportation for appointments?


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2. What are the costs involved in using their transportation?


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3. Is transportation wheelchair accessible? 


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4. Is transportation available for non-medical appointments? 


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5. Is parking available?  


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6. Is there public transportation nearby? 


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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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