“Walk Through” Questions

FACILITY: _____________________________________________________________

    1. Did Staff members and residents have friendly conversations?
    2. When staff members talk to Residents, did they call them by names? (Not sweetie!)
    3. Did Residents and staff members acknowledge each other (Through smiles, eye contact, touch, ect.) and seem comfortable with each other?
    4. Did Residents and staff members interact with each other in positive ways (through conversation, humor, touch, eye contact, ect.)?
    5. Other than naptime or bedtime, were residents up and out of bed and in their own clothes?
    6. Were residents dressed and clean?
    7. Were residents well groomed (shaved, hair combed, nail clean and trimmed)?
    8. Were staff members visible? (There should be enough staff members on duty that, as you tour, you see them working).
    9. Were staff members seen actively caring for residents? (Staff should seem busy working with residents as you tour the nursing home.)
    10. Were registered Nurses (RNs) visible, at Nursing homes? (This is important, because registered nurses are needed to evaluate residents and see that they get the care they need). You may need to look at name badges of staff to identify RNs. Assisted Living Facilities: No RN required by State Law.
    11. Did registered nurses, (RNs) only in Nursing Homes, seem to know the residents well enough to direct their care? (You may need to ask staff members to answer this question).
    12. Did staff members appear clean and groomed?
    13. Did staff members appear caring? (Compassionate, warm, kind)?
    14. Did staff members appear to treat residents with respect and dignity?
    15. Were a variety of activities available for residents with different capabilities? (Look for posted schedules, calendars, ask for a copy)
    16. Did the staff help residents with food and fluids? Encouraging, not only at mealtimes.
    17. Were Residents independently moving about the facility, with or without canes, walkers, splints, wheelchairs, or other assistance devices? (Generally you should see residents up and moving around. It is important to encourage older adults to be as active as possible. Maintaining or regaining mobility is a primary goal for most residents).
    18. Were staffs members helping residents move about the facility, with or without canes, walkers, splints, wheelchairs, or other assistance devices?
    19. Were rehabilitation therapists actively working with residents to improve or restore function? (But not in Assisted Living or Residential Care Facilities).
    20. Did staff members communicate with confused residents (such as residents with Alzheimer’s disease) through talk, smiles, and touch, ect?
    21. Did confused residents have an adequate, safe place to wander indoors? (You may need to ask staff to answer this question. Ask to be showing the wander path.)
    22. Did confused residents have an adequate, safe place to wander outdoors? (This space should be limited so residents will not wander into unsafe areas or outside the facility.)
    23. Did confused residents have easy access to outdoor space that they may walk by themselves?
    24. Did the other residents have an adequate, safe space to wander outdoors? (Some residents prefer to spend many hours outdoors, and they should be able to do so if they wish. Ask the staff.)
    25. Did the other residents have easy access to this outdoor space? Ask the staff.
    26. Were odors of urine or feces noticeable in the facility? (These odors should not be pervasive. If you smell it during the whole daytime, it could be a major problem with the quality of care. Odor mornings, and evenings cannot be avoided.)
    27. Were other unpleasant odors noticeable in the facility? (When residents’ personal hygiene is poor, other unpleasant odors become apparent. This should not be the case).
    28. Were hallways and public areas uncluttered? (Because Assisted Living Places, Residential Care Places and Nursing Homes are busy places with lots of people living and working in them, some clutter is likely. However, it should not be hazardous to walk or wheel a wheelchair throughout the building).
    29. Were residents’ rooms, hallways, public areas, and common areas clean? (They should be clean from dust, mold, mildew, and stains on the floors or walls, etc.)
    30. Were buildings, grounds, and furniture in good condition?
    31. Were the hallways well lighted?
    32. Were the public and common areas well lighted?
    33. Did the facility seem calm?
    34. Was there a pleasant atmosphere or feeling about the facility?
    35. Were residents’ rooms personalized with furniture, pictures, and other items from their past? (It is important that residents have some personal items to help them feel at home.)
    36. If plants and/or pets were observed, did they seem in good condition?
    37. Were plants (live or artificial) and pets (dogs, cats, birds, ect.) in residents’ room?
    38. Were plants (live or artificial) and pets (dogs, cats, birds.) in public areas?
    39. If plants and/or pets were observed, did they seem in good condition?
    40. Did the facility look and feel like a home?
    41. Were visitors (family members, volunteers, community members, ect.) visible in the facility?
    42. Are your visits limited to certain hours? (You should be able to come and go during daytime hours without limitations. Residential care facilities and Assisted living places have a sign-in/sign-out book.)
    43. What is important to you? Good food, like in a first class hotel? Good view of the mountains and water? Good care with friendly, responsible staff?
    44. And ask yourself: Would you like to live here?