Assisted Living Facility Shift Report
About this free form template

Running an assisted living facility means ensuring every resident receives consistent, quality care across all shifts. This Assisted Living Facility Shift Report template gives caregivers and staff a structured way to document resident activities, medication administration, dietary intake, behavioral changes, and family communications—all in one streamlined form.

Whether you're managing a small residential care home or a larger senior living community, clear shift-to-shift communication is essential for resident safety and wellbeing. This template helps your care team log daily observations, flag concerns early, and maintain accurate records that meet regulatory requirements and keep families informed.

Built for senior care teams who need clarity and accountability

This template is designed specifically for assisted living facilities, memory care units, residential care homes, and senior living communities. It's ideal for:

  • Care coordinators and nursing staff who need to document medication passes, vital signs, and health observations
  • Direct care workers and CNAs tracking daily activities, meals, mood changes, and assistance provided
  • Facility managers and administrators maintaining compliance records and incident documentation
  • Family liaisons keeping loved ones updated on daily care and any notable changes

With conditional logic built in, the form adapts based on what happened during the shift—prompting for details only when incidents occur or behaviors change, so staff aren't filling out unnecessary fields on routine days.

Comprehensive care tracking in one daily form

This shift report template covers all the essentials:

  • Shift details and resident identification to create clear, dated records
  • Medication administration logs with time stamps and follow-up for missed doses
  • Dietary and hydration tracking including meal percentages, special diet compliance, and intake concerns
  • Activities of daily living (ADL) assessments documenting bathing, dressing, mobility, and assistance levels
  • Behavioral and mood observations with space to note changes, triggers, or emotional wellbeing
  • Incident and safety reporting for falls, injuries, or medical concerns that require follow-up
  • Family communication logs to document calls, visits, or updates shared with loved ones
  • Shift handoff notes ensuring smooth transitions between caregiving teams

Because Paperform's doc-style editor makes forms feel less clinical and more intuitive, your staff can complete reports quickly during busy shifts without sacrificing detail or accuracy.

Automate workflows and keep everyone in sync with Stepper

Once a shift report is submitted, you can use Stepper to automate what happens next. Route incident reports to nursing supervisors, send daily summaries to family members via email, log entries into your resident management system, or trigger follow-up tasks for unresolved issues—all without manual data entry.

Stepper's AI-native workflows mean your care coordination continues seamlessly after each shift, reducing administrative burden and ensuring no detail falls through the cracks.

Trusted for senior care compliance and record-keeping

With SOC 2 Type II compliance, data residency controls, and secure submission storage, Paperform helps assisted living facilities maintain the accurate, auditable records required by state and federal regulations. You can export reports for state inspections, family conferences, or care plan reviews, and set up role-based permissions so only authorized staff can access sensitive resident information.

Whether you're a small care home or a multi-facility senior living organization, this template helps you deliver consistent, compassionate care while staying organized and compliant.

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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
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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