Patient Fall Risk Assessment
Complete upon admission and as conditions change.
- Industry: Healthcare
- Frequency: Admission / PRN
- Estimated Time: 10-15 minutes
- Role: Nurse / Clinical Staff
- Total Items: 31
- Compliance: Joint Commission NPSG, CMS Requirements
Fall History
Assess fall history.
- Previous falls in past 6 months?
- Fall during current admission?
Risk Factors
Identify risk factors.
- Impaired mobility/gait?
- On high-risk medications (sedatives, etc.)?
- Cognitive impairment?
- Vision impairment?
- Urinary urgency/incontinence?
- Age 65 or older?
Interventions
Implement fall precautions.
- Bed in lowest position?
- Call light within reach?
- Non-slip footwear provided?
- Environment clear of hazards?
- Fall risk band applied (if policy)?
Initial Setup & Documentation
Complete initial documentation and preparation
- Inspector / Assessor Name
- Date
- Location / Area
- Inspection Type
- Previous findings reviewed?
Safety & Compliance Verification
Verify all safety requirements are met
- All safety protocols being followed?
- Emergency exits clear and accessible?
- First aid supplies available and stocked?
- All hazards identified and controlled?
- Required PPE being worn correctly?
Operational Standards Check
Verify operational standards and procedures are maintained
- Standard operating procedures being followed?
- All equipment in proper working condition?
- Maintenance schedule current?
- All staff training current and documented?
Quality Assessment
Evaluate quality standards and performance metrics
- Quality standards met for all items checked?
- Any deficiencies or non-conformances identified?
- Root cause analysis completed for issues?
- Continuous improvement opportunities identified?
Related Health Services Checklists
- Hand Hygiene Compliance Audit
- UK CQC Healthcare Compliance Checklist
- Australia ACSQHC Healthcare Safety Checklist
- India NABH Hospital Accreditation Checklist
- Nursing Station Daily Check
- Joint Commission Hospital Accreditation Checklist
- Ambulance Vehicle Inspection
- Funeral Home Regulatory Compliance Inspection Checklist
Related Clinical Compliance Checklists
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- UK CQC Healthcare Compliance Checklist - FREE Download
- Australia ACSQHC Healthcare Safety Checklist - FREE Download
- India NABH Hospital Accreditation Checklist - FREE Download
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Why Use This Patient Fall Risk Assessment?
This patient fall risk assessment helps healthcare teams maintain compliance and operational excellence. Designed for nurse / clinical staff professionals, this checklist covers 31 critical inspection points across 7 sections. Recommended frequency: admission / prn.
Ensures compliance with Joint Commission NPSG, CMS Requirements. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Patient Fall Risk Assessment cover?
This checklist covers 31 inspection items across 7 sections: Fall History, Risk Factors, Interventions, Initial Setup & Documentation, Safety & Compliance Verification, Operational Standards Check, Quality Assessment. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed admission / prn. Each completion takes approximately 10-15 minutes.
Who should use this Patient Fall Risk Assessment?
This checklist is designed for Nurse / Clinical Staff professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.