Facility and environment

Every item here is something a person can stand in front of and check. That is deliberate: the physical plant is where the most preventable harm lives, and it is the part of a facility an off-site owner never sees.

43 items in 9 categories. This is the source list, in full, in the order it is walked. Nothing is summarized away.

Resident Safety

Category 1 of 54 · 7 items

  • Hot water temperature checks (≤ 120°F to prevent scalding)
  • Emergency exits clearly marked and accessible
  • Fire extinguishers and smoke detectors operational
  • Handrails and grab bars securely installed
  • Adequate lighting in hallways and common areas
  • Proper functioning of call buttons in resident rooms
  • Wheelchair accessibility throughout the facility

Infection Control

Category 2 of 54 · 6 items

  • Regular cleaning schedule followed for resident rooms
  • Disinfectant available in high-traffic areas
  • Communicable disease screening for residents
  • Staff hand hygiene compliance
  • Use of personal protective equipment (PPE) by staff
  • Laundry facilities maintain hygiene standards

Kitchen & Dining Areas

Category 3 of 54 · 5 items

  • Food storage temperatures maintained (cold: ≤ 40°F, hot: ≥ 140°F)
  • Food preparation surfaces sanitized
  • Expired food discarded appropriately
  • Dining areas clean and free of debris
  • Safe water supply (check for lead, contaminants)

Bathrooms

Category 4 of 54 · 4 items

  • Cleanliness of resident bathrooms
  • Safe water temperature for resident use
  • Non-slip mats or flooring installed in shower areas
  • Functioning and accessible grab bars in showers and near toilets

Common Areas

Category 5 of 54 · 4 items

  • Floors free of trip hazards (wires, rugs, spills)
  • Furniture in good condition (no sharp edges or broken parts)
  • Adequate ventilation and air quality in common spaces
  • Clear and visible evacuation maps posted

Resident Rooms

Category 6 of 54 · 5 items

  • Clean linens and beddings
  • Proper room ventilation (temperature control: 68-72°F)
  • Room free from clutter and fall hazards
  • Personal belongings organized and stored safely
  • Mobility aids (walkers, canes) in good condition

Staff Areas

Category 7 of 54 · 3 items

  • Staff rooms clean and stocked with PPE
  • Training materials and compliance logs accessible
  • Staff lockers and storage areas clean and organized

Medication Storage & Administration

Category 8 of 54 · 4 items

  • Medications stored in locked, secure cabinets
  • Expired medications properly disposed of
  • Accurate medication administration records
  • Compliance with pharmacy storage guidelines (e.g., temperature control)

Outdoor Areas

Category 9 of 54 · 5 items

  • Sidewalks and paths free of debris and cracks
  • Proper lighting in outdoor walkways
  • Secure fencing around the property (if needed)
  • Emergency vehicle access maintained
  • Outdoor furniture safe and clean

Where this sits

This is one of seven groups in the review. The safety review · all 54 categories.

Ask for a safety review of your facility

A CareGuard safety review walks the building against 189 items in 54 categories and reports what it finds to you, not to your site manager. The registration form takes the facility and a contact for the ownership group; scope is settled in the conversation that follows.