Home Health Visit Safety Checklist [FREE PDF]
Home health nurses and aides use this checklist per CMS Home Health Agency Conditions of Participation (42 CFR 484) and OSHA home healthcare worker safety guidelines for patient visit safety.
- Industry: Healthcare / Home Health
- Frequency: Per Visit
- Estimated Time: 10-15 minutes
- Role: Home Health Nurse
- Total Items: 8
- Compliance: CMS 42 CFR 484, OSHA Home Healthcare Guidelines
Home Environment Assessment
Assess patient home environment safety.
- Is the home environment free of fall hazards (loose rugs, clutter, poor lighting)?
- Is the home sanitary enough for safe care delivery?
- Are animals secured and not posing a safety risk during the visit?
- Home environment notes
Patient Care & Documentation
Verify care delivery and documentation compliance.
- Is care being delivered per the physician-ordered plan of care?
- Are medications reviewed and reconciled with the patient at each visit?
- Is the visit documented in the EHR within the required time frame?
- Care documentation notes
Related Health Services Checklists
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- Patient Room Daily Inspection
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Related Patient Safety Checklists
- Patient Room Daily Inspection - FREE Download
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Why Use This Home Health Visit Safety Checklist [FREE PDF]?
This home health visit safety checklist [free pdf] helps healthcare / home health teams maintain compliance and operational excellence. Designed for home health nurse professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: per visit.
Ensures compliance with CMS 42 CFR 484, OSHA Home Healthcare Guidelines. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Home Health Visit Safety Checklist [FREE PDF] cover?
This checklist covers 8 inspection items across 2 sections: Home Environment Assessment, Patient Care & Documentation. It is designed for healthcare / home health operations and compliance.
How often should this checklist be completed?
This checklist should be completed per visit. Each completion takes approximately 10-15 minutes.
Who should use this Home Health Visit Safety Checklist [FREE PDF]?
This checklist is designed for Home Health Nurse professionals in the healthcare / home health 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.