For every checklist item: what to observe, and how to choose Excellent , Acceptable , Unsafe , or N/A . Same guidance appears behind the ? on each question during an assessment.
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2. 1. Home Safety Toilet grab bar installed +
Shower grab bar installed +
Anti-slip flooring +
Shower chair available +
Toilet height appropriate +
Hot water scald risk controlled +
Pathway level and clear +
Zero-step or ramped main entry +
Entrance railing if needed +
Adequate entry lighting +
Hallways free of trip hazards +
Loose rugs secured or removed +
Bedroom night lighting +
Bed transfer support +
Smoke and CO detectors on each level +
Stove / gas safety controls +
Living area walkways clear +
3. 2. Mobility & Accessibility Walks independently or with correct device +
Balance adequate for home +
Stands from chair without arm push +
Transfers bed/chair safely +
Stairs manageable or alternative exists +
Door widths / thresholds accessible +
Wheelchair or walker path clear +
4. 3. Health & Wellness Chronic conditions documented +
Medications reconciled +
Meds checked for dizziness/sedation +
Pain managed acceptably +
Vision/hearing supports in place +
Nutrition adequate +
No falls in the past year +
Steady when walking +
Not worried about falling +
Rush to toilet / urgency managed +
Foot sensation adequate for walking +
5. 4. Activities of Daily Living (ADL) Bathing independently or with plan +
Dressing independently or with plan +
Toileting independently or with plan +
Eating / feeding independence +
Transfer / mobility for ADLs +
Personal hygiene maintained +
6. 5. Instrumental ADLs (IADL) Manages medications schedule +
Prepares or receives meals safely +
Handles shopping / errands +
Manages finances or has help +
Uses transportation safely +
Light housework manageable +
7. 6. Cognitive & Emotional Wellness Orientation to person/place/time +
Mood stable / no untreated depression +
Memory adequate for daily safety +
Judgment safe for leaving stove/doors +
Social engagement present +
8. 7. Emergency Preparedness Emergency contacts posted +
SOS / alert method available +
Evacuation path understood +
First aid / flashlight accessible +
Family response plan documented +
9. 8. Home Condition & Maintenance No major structural hazards +
Electrical outlets/wiring safe +
Damp / mold controlled +
Plumbing reliable +
Repairs backlog acceptable +
10. 9. Technology Readiness Can use phone for emergencies +
Video call capable (self or family) +
Smart safety devices appropriate +
Medication reminder tech if needed +
Wi‑Fi / power backup considered +
11. 10. Family & Caregiver Support Primary caregiver / family identified +
Check-in frequency adequate +
NRI / remote family plan if applicable +
Caregiver stress manageable +
Advance directive / decision-maker known +
Willing to engage ECM if recommended +
12. 11. Financial & Government Benefits Income / pension status known +
Health insurance / schemes reviewed +
Eligible government benefits identified +
Documents available for applications +
Budget for home improvements realistic +
13. 12. Lifestyle & Social Engagement Day structure / routine present +
Social contacts weekly +
Meaningful activities available +
Outdoor / community access +
Sleep environment supportive +