Property performance review checklist

Template Questions

• Community
• Address Address
• Phone #
• Website
• Capacity (Total Units)
• Today's Census
• Administrator
• Hire/Promotion Date Date
• Email
• Mobile Phone
• Name
• Title
• Critical Factors/Compliance
• Resident Identifier
• Incident Report Date Date
• Employee Name
• Date of Incident Date
• Cause of Incident
• Type of Injury
• Comments
• Employee Identifier
• Date of last performance appraisal. Date
• Title/Position
• Marketing
• Life Enrichment/Activities
• Staffing
• Memory Care
• Service Plans
• Service Plan Date Date
• Medication QA
• Dining Services
• Accounts Payable
• Accounts Receivable
• Physical Plant/Maintenance
• Financial Performance
• Discussion and Financial Plan
• Date of last State Survey Date
• State Licensing
• Date of last Medicaid Survey Date
• Medicaid
• Ombudsman/Elder Protective Services
• Other Regulatory Issues
• Total Score
• Summary
• Goal/Corrective Action Plan
• Responsibility of
• Timeframe for completion Date
• Regional Director Review
• Regional Director