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

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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.

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