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Nursing Home Rehabilitation Services Audit Checklist

A comprehensive checklist for auditing rehabilitation services in nursing homes, covering areas such as physical therapy, occupational therapy, speech therapy, equipment maintenance, documentation, and outcomes measurement to ensure high-quality, effective rehabilitation care for residents.

Nursing Home Rehabilitation Services Audit Checklist

by: audit-now
4.3

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About This Checklist

Effective rehabilitation services are crucial for improving and maintaining the functional abilities of nursing home residents. This comprehensive audit checklist is designed to evaluate and enhance the quality of rehabilitation services provided in long-term care facilities. By addressing key areas such as physical therapy, occupational therapy, speech therapy, equipment maintenance, documentation, and outcomes measurement, this checklist helps ensure that residents receive appropriate and beneficial rehabilitation care. Regular audits using this checklist can significantly improve resident mobility, independence, and overall quality of life, while ensuring compliance with rehabilitation care standards in nursing homes.

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Industry

Healthcare

Standard

CARF Aging Services Standards

Workspaces

Healthcare Centers

Occupations

Physical Therapists
Occupational Therapists
Speech-Language Pathologists
Rehabilitation Directors
Quality Assurance Specialists
1
Is the documentation for rehabilitation services complete and accurate?
2
How often is maintenance performed on rehabilitation equipment?
Min: 1
Target: Monthly
Max: 12
3
Is there an individualized care plan established for each patient?
4
Provide a summary of the functional outcomes achieved by patients.
5
Was a fall risk assessment conducted for each patient upon admission?
6
Are all staff members trained in safety protocols for rehabilitation services?
7
How many incidents were reported in the last quarter?
Min: 0
Target: 0
Max: 100
8
When was the last safety audit conducted?
9
Is documentation for each therapy session consistently completed?
10
What is the average patient satisfaction score for therapy services?
Min: 1
Target: 4
Max: 5
11
Provide a summary of patient progress towards rehabilitation goals.
12
When was the last review of therapy protocols conducted?
13
Is all rehabilitation equipment calibrated according to manufacturer specifications?
14
Are maintenance logs for rehabilitation equipment up to date?
15
How many hours was the rehabilitation equipment out of service in the last month?
Min: 0
Target: 0
Max: 500
16
When is the next scheduled inspection for rehabilitation equipment?
17
Has informed consent been obtained from each patient for their treatment plan?
18
What percentage of patients met their rehabilitation goals in the last quarter?
Min: 0
Target: 75
Max: 100
19
Provide a summary of patient feedback regarding their care experience.
20
When was the last quality improvement review conducted for patient care services?

FAQs

Rehabilitation services audits should be conducted regularly, typically on a quarterly basis. However, more frequent reviews may be necessary if there are significant changes in rehabilitation staff, equipment, or resident needs.

Key components include assessing the appropriateness and frequency of therapy sessions, evaluating the qualifications and competencies of rehabilitation staff, reviewing documentation and care plans, inspecting rehabilitation equipment and spaces, and analyzing outcomes and progress measures for residents receiving therapy.

The audit team should include physical therapists, occupational therapists, speech-language pathologists, rehabilitation directors, nursing supervisors, and quality assurance personnel. Input from residents and their families regarding their rehabilitation experience can also provide valuable insights.

Audit results can be used to enhance staff training and competencies, update rehabilitation protocols and care plans, improve equipment maintenance and acquisition, strengthen interdisciplinary communication, and develop more effective outcome measurement and reporting processes.

Individualized care planning is essential in rehabilitation services. Audits should assess how well therapy goals and interventions are tailored to each resident's specific needs, preferences, and potential. This includes evaluating the process of setting realistic, measurable goals and regularly adjusting plans based on resident progress and changing needs.

Benefits of Nursing Home Rehabilitation Services Audit Checklist

Enhances the quality and effectiveness of rehabilitation services for residents

Ensures compliance with regulations and best practices for rehabilitation care

Improves resident functional outcomes and independence

Optimizes the use of rehabilitation resources and equipment

Increases resident and family satisfaction with rehabilitation services