Run Senior Living Housekeeping Preference Card Audit — Free

Audit Scope and Resident Identification

Resident name and room number match the preference card critical (required)

Yes No N/A

Preference card is dated and within the facility review interval critical (required)

Verify the card has a current review date and has not exceeded the facility's required update cycle.

Yes No N/A

Audit date and shift are recorded

Housekeeping staff member assigned to the room is identified

Preference Card Currency and Accuracy

Resident housekeeping preferences documented on the card are complete critical (required)

Confirm the card includes relevant preferences such as cleaning frequency, room entry timing, privacy requests, linen handling, and personal item handling as applicable.

Yes No N/A

Card reflects the resident's current preferences and no outdated instructions are present critical (required)

Yes No N/A

Resident or responsible party confirmation is documented when required by policy

Yes No N/A

Preference changes are dated, initialed, and traceable to the source of update

Yes No N/A

Any special instructions are clear, specific, and actionable for housekeeping staff

Housekeeping Practice and Resident Preference Follow-Through

Observed room cleaning followed the documented resident preferences critical (required)

Yes No N/A

Housekeeping entered the room at the preferred time or within the allowed window

Yes No N/A

Privacy and dignity were maintained during cleaning critical (required)

Verify knock-and-announce practices, door closure, respectful communication, and appropriate handling of resident belongings.

Yes No N/A

Resident belongings were handled according to documented preferences

Yes No N/A

Cleaning frequency and scope matched the preference card

Yes No N/A

Safety, Infection Control, and Environmental Conditions

Housekeeping chemicals and supplies were stored and used safely in accordance with facility policy and OSHA 1910.1200 critical (required)

Verify labeled containers, safe handling, and no unsafe mixing or exposure risks.

Yes No N/A

PPE was used as required for the task and resident area critical (required)

Yes No N/A

Room surfaces were clean and free of visible soil, spills, and odor concerns after service

Yes No N/A

No trip hazards, blocked egress, or unsafe clutter were left in the resident room critical (required)

Check floors, cords, equipment placement, and clear access to exits and pathways.

Yes No N/A

Corrective Actions and Sign-Off

Deficiencies were documented with specific corrective actions and responsible owner critical (required)

Yes No N/A

Follow-up date was assigned for unresolved non-conformances

Inspector signature completed critical (required)

Supervisor or department lead review completed when required

Yes No N/A

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Run: Senior Living Housekeeping Preference Card Audit

Audit Scope and Resident Identification

Preference Card Currency and Accuracy

Housekeeping Practice and Resident Preference Follow-Through

Safety, Infection Control, and Environmental Conditions

Corrective Actions and Sign-Off

Get your results