Home Care Tasks Checklist

Directions: This checklist is to help identify the tasks required to be completed by a home care worker. For each question, answer if help is needed and indicate how often. This will help in determining who to hire to work in the home.

Bedroom Yes No Frequency and Comments
Assist with getting in/out of bed
Make bed
Change bed linen
Bathroom Yes No
Help with bathing
Help with toileting
Help with grooming
Clean sink, tub, toilet, and surfaces
Personal Care Yes No
Help with dressing
Help with transferring
Help with walking
Health Yes No
Manage medications
Nursing care
Occupational therapy
Physical therapy
Speech therapy
Meals Yes No
Plan menus
Prepare and serve meals
Help with feeding
Wash, dry and store dishes and utensils
Clean sink, stove, counters, refrigerators
Household Yes No
Wash, dry and fold clothing and linens
Empty and take out trash
Clear, dust and organize surfaces throughout home
Vacuum carpets
Sweep floors
Wet or dry mop in rooms you use
Complete yard work
Shopping Yes No
Prepare list
Run errands
Buy food and supplies
Store items as requested
Transportation Yes No
Take to social activities
Take to doctor?s appointments
Take to other activities (religious, etc.)
Social activities Yes No
Reading to your loved one
Playing games with your loved one
Visit with your loved one (conversation)
Other tasks Yes No


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