Senior Living Facility Unit Condition Checklist
Date:
Resident Name:
Unit Number:
Staff Name(s):
General Condition
Area
Condition
Notes
Floors
Walls/Ceilings
Doors/Locks
Windows/Screens
Lighting/Fixtures
Bathroom(s)
Area
Condition
Notes
Toilet
Sink
Shower/Tub
Grab Bars
Kitchenette/Appliances
Item
Condition
Notes
Refrigerator
Microwave
Sink/Faucet
Cabinets/Countertops
Additional Comments
Resident Signature:
Date:
Staff Signature:
Date:
Note: Complete this checklist at unit turnover or move-in/out. Document all deficiencies or required repairs in the notes.