Assisted Living Facility Product Safety & Effectiveness Evaluation Form
About this free form template

Comprehensive Product Safety Evaluation for Assisted Living Facilities

Ensuring resident safety while preserving dignity is one of the most important balancing acts in assisted living care. This Assisted Living Facility Product Safety & Effectiveness Evaluation Form helps facilities systematically assess safety products—from fall prevention devices to monitoring systems—based on the metrics that matter most: effectiveness, staff usability, resident comfort and dignity, and family communication.

Why Product Safety Evaluations Matter in Senior Care

Assisted living facilities continuously evaluate new products designed to prevent falls, monitor residents, and enhance safety. However, not all solutions work equally well in real-world care environments. A product might be technically sophisticated but too complex for busy staff to use consistently, or it might be effective at preventing incidents but compromise resident dignity and independence.

This template provides a structured framework for facilities, care managers, and product evaluation committees to collect detailed feedback from multiple stakeholders—staff members who use the products daily, administrators who track outcomes, and family members who value communication and peace of mind.

How Paperform Transforms Product Evaluation Workflows

Built specifically for healthcare and senior care organizations, this Paperform template goes beyond simple feedback collection. With conditional logic, the form adapts based on the product type being evaluated, asking relevant follow-up questions about specific features. Rating scales and matrix questions let evaluators quickly score products across multiple dimensions, while open-ended fields capture nuanced observations that numbers alone can't convey.

Once submitted, evaluations can automatically flow into your facility management system via Stepper workflows—routing high-priority safety concerns to administrators immediately, compiling monthly product performance reports, or triggering vendor follow-ups when scores fall below acceptable thresholds. This keeps your evaluation process organized and actionable without adding administrative burden.

For multi-facility operations, Paperform's Agency+ plan allows you to deploy consistent evaluation standards across locations while maintaining separate data streams for each facility. Combined with SOC 2 Type II compliance and healthcare-grade security, you can trust that sensitive resident and facility information stays protected.

Who This Template Serves

This form template is ideal for:

  • Assisted living facilities and nursing homes evaluating fall prevention equipment, monitoring systems, and mobility aids
  • Senior care administrators responsible for product selection and safety committee decisions
  • Healthcare product vendors seeking structured feedback from facilities using their products
  • Quality assurance teams tracking product performance and resident safety outcomes
  • Family councils participating in facility safety improvement initiatives

Whether you're piloting a new fall detection system, evaluating bed alarms, or assessing wheelchair safety features, this template provides the comprehensive feedback structure you need to make informed decisions that balance safety, dignity, and operational efficiency.

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suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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