PrestigePrestige

Provider of Independent Living Since 1995 info@prestigehca.com 215-677-3299 Contact Us
  • Home
  • Who We Are
  • Services
  • Referral
  • Careers
  • Community
  • Contact Us

"*" indicates required fields

1Reviewer Details
2Exterior Property Review
3Doors and Windows
4Interior of the Home
5Furniture and Fixtures
6Bathroom(s)
7Utilities and Electric
8Appliances
9Misc. Findings

BASIC INFORMATION

MM slash DD slash YYYY
House Reporting On:*

EXTERIOR PROPERTY REVIEW

Hidden
Hidden
Landscaping/Lawn:*
Cracks or safety issues
Drop files here or
Max. file size: 50 MB.
    Walkways and steps around the house:*
    Any issues, overgrowth or safety concerns
    Drop files here or
    Max. file size: 50 MB.
      Exterior railings:*
      Secured and sturdy
      Drop files here or
      Max. file size: 50 MB.
        Outside Trash:*
        All in bins (not on ground), not overflowing, with no observable safety or hygiene issues
        Drop files here or
        Max. file size: 50 MB.
          Lock Box:*
          Present & contains set of keys
          Drop files here or
          Max. file size: 50 MB.

            DOORS & WINDOWS

            Hidden
            Hidden
            Door Locks:*
            Present, functional, w/o issue
            Drop files here or
            Max. file size: 50 MB.
              Doors:*
              Can be opened/closed w/o issue; no observable deficiencies
              Drop files here or
              Max. file size: 50 MB.
                Windows / Sills*
                Observable leaks, water damage, breaks, cracks, deficiencies
                Drop files here or
                Max. file size: 50 MB.
                  Window Screens/Nets*
                  Present and without issue / in good condition
                  Drop files here or
                  Max. file size: 50 MB.
                    Window Coverings:*
                    Windows have blinds and/or curtains, and fixed curtain rods; in good condition
                    Drop files here or
                    Max. file size: 50 MB.

                      INTERIOR OF THE HOME

                      Hidden
                      Hidden
                      Walls:*
                      Clean & painted, no observable holes/deficiencies (needing spackling, patching, work, etc)
                      Drop files here or
                      Max. file size: 50 MB.
                        Ceilings:*
                        Leaks, water damage, deficiencies
                        Drop files here or
                        Max. file size: 50 MB.
                          Banisters:*
                          Secure and safe; No observable deficiencies making usage unsafe
                          Drop files here or
                          Max. file size: 50 MB.
                            Carpets:*
                            Clean & secure, w no observable deficiencies
                            Drop files here or
                            Max. file size: 50 MB.
                              Floors:*
                              No observable deficiencies w hardwood/laminate (ex: lifting, loose fittings, mold, rust, holes, etc)
                              Drop files here or
                              Max. file size: 50 MB.
                                Water Damage:*
                                No visible water damage
                                Drop files here or
                                Max. file size: 50 MB.
                                  Trash:*
                                  No loose trash or packing/cardboard boxes, etc. thrown/left about the house
                                  Drop files here or
                                  Max. file size: 50 MB.

                                    FURNITURE AND FIXTURES

                                    Hidden
                                    Hidden
                                    Furniture:*
                                    Present and accounted for; in good repair, without loose/missing pieces, tearing/ripping and safe for use
                                    Drop files here or
                                    Max. file size: 50 MB.
                                      Fixtures:*
                                      Secured to the wall without observable issue.
                                      Drop files here or
                                      Max. file size: 50 MB.
                                        Lights/Lightbulbs:*
                                        Present, functioning and operable
                                        Drop files here or
                                        Max. file size: 50 MB.
                                          Outlets:*
                                          Secured to the wall snuggly with no observable deficiencies
                                          Drop files here or
                                          Max. file size: 50 MB.

                                            BATHROOM(S)

                                            Hidden
                                            Hidden
                                            Toilets:*
                                            Are not backed up
                                            Drop files here or
                                            Max. file size: 50 MB.
                                              Bathroom Handles:*
                                              Sink handle, shower head and rod are all secure and operable
                                              Drop files here or
                                              Max. file size: 50 MB.
                                                Plumbing:*
                                                Secure and good; no leaks, mold, or other such issues
                                                Drop files here or
                                                Max. file size: 50 MB.
                                                  Gen. Deficiencies:*
                                                  No cracks indicated, and if so indicated, are caulked appropriately; no loose pieces; no observable deficiencies or safety issues
                                                  Drop files here or
                                                  Max. file size: 50 MB.

                                                    UTILITIES AND ELECTRIC:

                                                    Hidden
                                                    Hidden
                                                    Water Heater and Cooler:*
                                                    Operable & in good condition
                                                    Drop files here or
                                                    Max. file size: 50 MB.
                                                      Water Temp./Pressure:*
                                                      Doesn't exceed 120 degrees Fahrenheit. Pressure optimal
                                                      Drop files here or
                                                      Max. file size: 50 MB.
                                                        HVAC:*
                                                        Operable & in good condition
                                                        Drop files here or
                                                        Max. file size: 50 MB.
                                                          Wiring:*
                                                          No indication of exposed wires, hanging light fixtures or electrical deficiencies
                                                          Drop files here or
                                                          Max. file size: 50 MB.
                                                            Internet:*
                                                            Connected and running
                                                            Drop files here or
                                                            Max. file size: 50 MB.
                                                              Security Cameras:*
                                                              Affixed appropriately and connected
                                                              Drop files here or
                                                              Max. file size: 50 MB.

                                                                Appliances:

                                                                Hidden
                                                                Hidden
                                                                Kitchen Appliances:*
                                                                All in good condition (microwave, stove, refrigerator, etc); No observable deficiencies
                                                                Drop files here or
                                                                Max. file size: 50 MB.
                                                                  Washer & Dryer:*
                                                                  Operable & in good condition; doors safely secured
                                                                  Drop files here or
                                                                  Max. file size: 50 MB.
                                                                    Water Damage:*
                                                                    Indication of water damage / other water issue around any appliances, washer or dryer
                                                                    Drop files here or
                                                                    Max. file size: 50 MB.

                                                                      Misc. Findings

                                                                      Hidden
                                                                      Hidden
                                                                      Misc. Findings*
                                                                      Please indicate any other observable deficiencies or findings.
                                                                      Drop files here or
                                                                      Max. file size: 50 MB.
                                                                        • Home
                                                                        • Who We Are
                                                                        • Services
                                                                        • Referral
                                                                        • Resources
                                                                        • Careers
                                                                        • Community
                                                                        • Contact Us

                                                                        Copyright © Nursing Home Care Management Inc. – Web Design by: Curis Digital