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> Mock Survey Round sheet
Mock Survey Round sheet
Mock Survey Round Checklist
Pre-Survey Preparation
Confirm date, time, and location of mock survey
Gather necessary documents and materials for review
Assign specific roles and responsibilities to team members
Facility Environment
Conduct a visual inspection of the facility
Assess cleanliness, organization, and maintenance
Ensure compliance with safety regulations and standards
Patient Care
Review patient care practices and procedures
Assess staff interactions with patients
Verify patient rights and consent documentation
Infection Control
Review infection control policies and procedures
Check for proper hand hygiene practices
Assess cleanliness and disinfection protocols
Staff Training and Competency
Review staff training records and competencies
Verify staff knowledge of policies and procedures
Assess staff communication and teamwork
Medication Management
Review medication administration practices
Check for proper storage and documentation of medications
Assess medication reconciliation processes
Resident Rights
Review resident rights policies and procedures
Verify resident participation in care planning
Assess resident satisfaction and feedback mechanisms
Exit Interview and Action Plan
Conduct an exit interview with facility leadership
Discuss findings, recommendations, and areas for improvement
Develop an action plan with timelines and responsible parties
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