WARDWELL · WORKING AID · OCTOBER 2026

Nursing home survey-readiness working checklist

For each section, record the issue, owner, next action, due date and evidence reference. This is an internal working aid, not a CMS checklist or a complete audit. Keep resident and employee details in approved internal systems. Follow current agency instructions and facility procedures.

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Facility / review date:
Administrator / DON / backup:
Next review / records location:

1. Survey findings and corrections

Match open findings with the correction record. Distinguish submitted, accepted and verified status. Record missing evidence and the next action.

2. Staff credentials

Check roster completeness and credential evidence. Identify upcoming expirations, missing records and the person confirming renewal.

3. Policies and supporting records

Locate current approved versions and evidence of implementation. Note outdated copies, missing approvals and access problems.

4. QAPI follow-through

Connect each selected improvement issue with actions, the responsible person, monitoring results and the next review. Record unresolved follow-up.

5. Staffing-report evidence

Identify PBJ owner and backup. Locate reconciliation records and final validation reports. Use the current PBJ guide for reporting instructions.

6. Retrieval and handoff

Ask a backup to retrieve a sample of records using approved access. Record missing context and actions. Agree the next review date based on risk and applicable requirements.