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Skilled Nursing Facility
Checklist – http://www.medicare.gov/LongTermCare/Static/NursingHome.asp

It is important for you and your family members to visit the facility to make sure that it meets your needs, as well as those of your family. A few things to consider when choosing a facility are listed here.

Is the facility accepting new patients?
Yes ____
No ____
Is the facility easy to visit for family and friends?
Yes ____
No ____
Does the facility use hospitals where my doctor practices?
Yes ____
No ____
Does the facility have the services I need?
Yes ____
No ____
Does the facility have a variety of activities I might enjoy?
Yes ____
No ____
Do patients appear clean and well groomed?
Yes ____
No ____
Do the patients have the same staff on a daily basis?
Yes ____
No ____
• Is there enough staff available to assist patients?
Yes ____
No ____
• Does the staff respond quickly to patients' calls for help?
Yes ____
No ____
Does the facility have an active resident and/or family council?
Yes ____
No ____
Is the facility clean and pleasant?
Yes ____
No ____
Is the facility certified by Medicare and Medicaid?
Yes ____
No ____
Are both the facility and current administrator licensed?
Yes ____
No ____
Are both the facility and current administrator licensed? _________
• What services are included in this price? _________
• What additional costs will I have to pay? _________

Ask to see the facility’s last annual state inspection report.
Did the report find any problems? Ask how the problems were fixed.


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1955 W. Lomita Blvd., Lomita, CA  90717 - Phone: (310) 325-1970  Fax: (310) 325-3399
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