Home Health Start of Care Assessment Checklist
Comprehensive home health agency start of care assessment including OASIS data collection, safety evaluation, and care plan development.
- Industry: Healthcare
- Frequency: At start of care
- Estimated Time: 90-120 minutes
- Role: Home Health RN
- Total Items: 29
- Compliance: CMS HH CoP 42 CFR 484, OASIS-E, State Licensure Requirements
Eligibility Verification
Medicare HH eligibility
- Homebound status documented?
- Skilled nursing/therapy need documented?
- Physician face-to-face encounter documented?
- Physician orders obtained?
Clinical Assessment
Comprehensive patient assessment
- Medical history reviewed?
- Surgical history documented?
- Medication reconciliation completed?
- Allergies verified and documented?
- Vital signs obtained?
OASIS Assessment
Required OASIS items
- All applicable OASIS items completed?
- Functional status assessed?
- Cognitive status assessed?
- Pain assessment completed?
- Wound/skin assessment completed?
Home Environment Safety
Safety evaluation
- Home environment safe for care?
- Fall hazards identified and addressed?
- Utilities functional?
- Emergency access available?
- Caregiver availability assessed?
Care Planning
POC development
- Plan of care developed?
- Measurable goals established?
- Visit frequency determined?
- Initial patient education provided?
- Physician notified of assessment findings?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Related Healthcare Checklists
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- Palliative Care Assessment Checklist
- Physical Therapy Initial Evaluation Checklist
- Occupational Therapy Initial Evaluation Checklist
- Endoscopy Safety & Reprocessing Verification Checklist
- Laboratory Specimen Collection Verification Checklist
- Radiation Oncology Treatment Verification Checklist
- Pediatric Weight-Based Medication Dosing Checklist
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Why Use This Home Health Start of Care Assessment Checklist?
This home health start of care assessment checklist helps healthcare teams maintain compliance and operational excellence. Designed for home health rn professionals, this checklist covers 29 critical inspection points across 6 sections. Recommended frequency: at start of care.
Ensures compliance with CMS HH CoP 42 CFR 484, OASIS-E, State Licensure Requirements. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Home Health Start of Care Assessment Checklist cover?
This checklist covers 29 inspection items across 6 sections: Eligibility Verification, Clinical Assessment, OASIS Assessment, Home Environment Safety, Care Planning, Pre-Assessment Information. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed at start of care. Each completion takes approximately 90-120 minutes.
Who should use this Home Health Start of Care Assessment Checklist?
This checklist is designed for Home Health RN 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.