Skip to content
Mitti by SafetyCulture
Template

Nursing Home COVID-19 Self-Assessment Checklist

Downloads: 40+
Get this template

This nursing home COVID-19 preparedness self-assessment checklist helps long-term care facilities identify strengths and gaps before and during outbreaks. It covers visitor restrictions and family communication; staff education, daily health screening, and consistent assignments; PPE inventory, ordering, and conservation; hand hygiene and environmental disinfection; resident education, daily monitoring, and isolation on admission or after exposure; transmission-based precautions, signage, and room setup; cohorting, roommate management, and unit-level mitigation; transfer communications with EMS and hospitals; and notification criteria for local health departments. Use it to document actions, assign responsibilities, and standardize practices across units.

With Mitti you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With Mitti you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by 80,000 organizations in 190 countries, Mitti publishes free checklists, SOP templates, audit checklists and toolbox talk topics that turn paper processes into a digital audit trail. Download one, put it to work on your next inspection or shift, and see why teams keep coming back for more.