Resident Guest Escort Log

Log for documenting escorts of residents and their guests within a senior living community, including escort purpose, staff assignment, route details, and completion sign-off.

Escort Session Details

• Date of Escort
  Date the escort took place.
• Escort Start Time
  Time the escort began.
• Escort End Time
  Time the escort was completed.
• Type of Escort
  Select the category that best describes the purpose of this escort.
• If 'Other', please describe

Resident Information

• Resident Full Name
• Resident Unit / Room Number
• Care Level
  Select the resident's current care designation to ensure appropriate escort protocols are followed.
• Mobility Aid in Use
  Select all that apply. Used to confirm appropriate escort equipment was available.
• Relevant Resident Notes for This Escort
  Note any safety considerations relevant to this specific escort. Do not record full medical history here.

Guest Information

• Was a guest present during this escort?
• Guest Full Name
• Guest Relationship to Resident
• Guest Photo ID Verified?
  Per community visitor policy, photo ID should be verified at check-in.
• Reason ID Was Not Verified
• Number of Additional Guests (beyond the primary guest named above)
  Enter 0 if only one guest was present.

Escort Route and Destination

• Escort Origin / Starting Location
• Escort Destination
• If 'Other' for origin or destination, describe
• Elevator Used During Escort?
• Escort Completed Without Incident?
• Describe the Incident or Concern
  If a fall, elopement attempt, medical event, or behavioral concern occurred, file a separate incident report per your community's protocol in addition to completing this field.

Staff Sign-Off

• Escorting Staff Member — Full Name
• Staff Role / Title
• Staff Signature
  By signing, the staff member confirms that the escort was conducted safely and that all information recorded above is accurate to the best of their knowledge.
• Was a Supervisor Notified of Any Concern During This Escort?
• Supervisor Notified — Name
• Additional Notes