Nursing Home Fall Prevention Assessment Checklist
Comprehensive fall prevention assessment checklist for nursing homes.
- Industry: Healthcare
- Frequency: Upon admission/Quarterly
- Estimated Time: 20-30 minutes
- Role: RN/LPN
- Total Items: 23
- Compliance: CMS F-Tags, State Survey Requirements
Risk Factors
Fall risk
- History of falls assessed?
- High-risk medications reviewed?
- Mobility status assessed?
Environment
Environmental safety
- Room hazards assessed?
- Call light accessible?
Interventions
Prevention measures
- Fall prevention care plan updated?
- Assistive devices in place?
Infection Prevention
CDC/Joint Commission
- Hand hygiene compliance?
- Isolation precautions followed?
- Sharps containers not overfilled?
- PPE available and used?
Patient Safety
Patient safety protocols
- Two-identifier protocol followed?
- Fall risk assessed?
- Bed in low position?
Medication Safety
Medication management
- Medications stored securely?
- Controlled substance count OK?
- No expired medications?
Emergency Equipment
Emergency readiness
- Crash cart stocked?
- AED functional?
- Oxygen supply adequate?
Environment of Care
Facility safety
- Emergency exits clear?
- Fire extinguishers accessible?
- Biohazard disposal proper?
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Why Use This Nursing Home Fall Prevention Assessment Checklist?
This nursing home fall prevention assessment checklist helps healthcare teams maintain compliance and operational excellence. Designed for rn/lpn professionals, this checklist covers 23 critical inspection points across 8 sections. Recommended frequency: upon admission/quarterly.
Ensures compliance with CMS F-Tags, State Survey Requirements. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Nursing Home Fall Prevention Assessment Checklist cover?
This checklist covers 23 inspection items across 8 sections: Risk Factors, Environment, Interventions, Infection Prevention, Patient Safety, Medication Safety, Emergency Equipment, Environment of Care. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed upon admission/quarterly. Each completion takes approximately 20-30 minutes.
Who should use this Nursing Home Fall Prevention Assessment Checklist?
This checklist is designed for RN/LPN 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.