Lighting is in good condition
Light Pull Chord in working condition
Plumbing in working condition
Ceiling tiles and tbar are clean with no stains, cracks, or missing
Paint is in good condition
Doors are in working condition including all hinges
Bathroom door in working order
Shower door in working order
Patient Room door in working order
All outlets in working order
Vents are in working order and are clean of debris and dust
Nurse Call working properly?
TV working properly in correlation to the Nurse Call System?
Are there any holes in the walls?
No Penetrations in the corridors or stairwell
All fire doors latch and close properly
All exit signs are properly working
All stairwell passage lights are working properly?
Are all means of egress free of obstruction both internal and external?
Is flooring in good condition?
Floor dust/dirt free corners/edges
Floor under furniture dust/dirt free
Walls dust/dirt free including corners
Window ledges dust/dirt free
Overbed light dust/dirt free
Closets are dust/dirt free
Call light control dust/dirt free
Patient bed rails cleaned
TV set dust/dirt free
Bedside cabinet clean
Over bed table clean
Cubicle curtain clean
Air vents clean
Waste containers clean
Room is odor free
Restroom floor corners/edges clean
Restroom walls dust/dirt free
Toilet cleaned including around and on the bottom
Sink cleaned including bottom
Paper towel dispenser supplied
Soap dispenser supplied
Toilet paper dispenser filled
Hand Sanitizer is in working order and filled
Sharp Container is less than 3/4 full and clean
Approval of these rounds are accepted by: