Resident Wellbeing Check Checklist
This checklist walks a reviewer through the day-to-day signs that a resident or client is being cared for properly: whether the care plan is being followed, medications are on schedule, hygiene and meals are covered, and the living area is free of hazards.
Who uses it and how often
- Used by
- Assisted living directors, care coordinators, and home care supervisors reviewing an individual resident or client.
- Frequency
- Weekly or monthly per resident, plus after any incident or care plan change.
The checklist (14 questions)
Regular interval wellbeing and care-quality review for a resident or client.
- 01
Resident / client name
Short textRequired - 02
Date of visit
DateRequired - 03
Caregiver on duty
Short textRequired - 04
Is the current care plan being followed?
Yes / No / N/ARequired - 05
Medications administered on schedule and documented?
Yes / No / N/ARequired - 06
Mobility assistance level observed
Options: Independent · Standby assist · One-person assist · Two-person assist
Multiple choiceRequired - 07
Personal hygiene and grooming needs met?
Yes / No / N/ARequired - 08
Meals and hydration provided as planned?
Yes / No / N/ARequired - 09
Living area free of trip, fire, and fall hazards?
Yes / No / N/ARequired - 10
Reported pain level (0-10)
NumberOptional - 11
Client / family satisfaction with care
Options: Very satisfied · Satisfied · Neutral · Dissatisfied
Multiple choiceRequired - 12
Concerns, incidents, or follow-up needed
Describe anything requiring escalation to a supervisor.
Long textOptional - 13
Photo of living area (optional)
Photo / cameraOptional - 14
Reviewer signature
SignatureRequired
How to run this inspection
- 01
Record the resident name, visit date, and the caregiver on duty.
- 02
Confirm care plan adherence, medication timing, hygiene, meals, and hydration.
- 03
Walk the living area for trip, fire, and fall hazards and photograph anything unsafe.
- 04
Note pain level and satisfaction, then log any concern that needs escalation.
Run it on a phone instead of paper
Open this checklist in FormFlow QA to schedule it against your sites, assign it to your team, attach photos and signatures, and keep every submission encrypted and searchable. There is a free plan during beta.