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Tips to Help You in Choosing an Assisted Living Facility

Today, more than a million senior Americans are assisted living residents. The decision to enter assisted living can be difficult and confusing. In this article, we discuss the many questions and considerations you and your loved ones may have about the decision to move to assisted living. We also provide smart tips to help you make just the right choice. Read on to learn more.

How Do You Begin Looking for the Right Assisted Living Setting?

It’s a good idea to begin with research, first online and then in person. Start by performing a simple Internet search.

Get a look at possible facilities near you, but don’t make contact yet. Just use your search to brainstorm with yourself and create your own list of questions you’d like to ask.

Look at the photos of the facilities, read their stated policies and descriptions and also, be sure to read their reviews very carefully.

How Do You Decide Which Facilities to Consider?

Your online search should give you some good ideas when it comes to choosing which facilities to visit. It’s also a good idea to seek out word of mouth recommendations from people you trust.

You can check the ratings of assisted living and nursing care facilities by visiting www.medicare.gov. Here you can check to be sure a facility you are considering is complying with all of the rules and regulations that apply to retirement facilities.

Unfortunately, independent living facilities are not subject to these rules and regulations, but you can check with the Better Business Bureau to get an idea of safety and performance levels of independent living centers.

What Do You Need to Know?

Choosing a happy, safe, healthy, stimulating living situation is a complex and serious matter, so don’t be shy about it. When you visit assisted living facilities, come armed with an actual list of questions. Interview the director as if you were hiring him or her for a job because that’s exactly what you are doing.

Get Down to Business

There are several areas you’ll want to cover in your questions. Start with business matters. If any of the answers to these 12 business questions is not to your liking, you’ll probably want to take your business elsewhere.

  • How long has this facility been in business?
  • Can I see your current license?
  • Has this license always been in good standing?
  • If it was revoked at some time, why did that happen?
  • Does management tend to change frequently?
  • May I see the facility’s financial records?
  • What organization audits this facility, and how frequently do they do so?
  • May I see your most recent inspection reports?
  • Do you have a conflict resolution process in place? If so, tell me about it.
  • Are residents included in decisions that affect them?
  • Is there a residents’ council?
  • Do you perform background checks on the staff before hiring?

If you are satisfied with the answers to your business concerns, move on to health concerns and questions:

  • Can residents get medical services as needed, 24/7?
  • Is an initial physical required for admission?
  • How is the resident’s plan of care determined?
  • Is the plan of care written?
  • How often is the plan of care reviewed and updated?
  • Who determines the resident’s need for services?
  • Can residents administer their own medications if they are able?
  • Can residents get physical therapy, hospice care or other needed services in situ?
  • Is there policy and procedure in place to handle medical emergencies?
  • Who pays for incontinence supplies?

Find Out if the Staff is Happy, Competent and Qualified

Spend some time at the facility and get to know the staff. Sit in the common areas and get a feel for the interactions between employees and residents. Talk with employees about their experience working at the facility. Get a clear feel for their level of connection with and concern for the residents and each other. Are all residents and staff treated respectfully and in a dignified manner?

Find out:

  1. 1
    Are aides present 24/7?
  2. 2
    How many residents is each aide expected to care for?
  3. 3
    Are staff members specifically trained for this job?
  4. 4
    Is there a high staff turnover rate?
  5. 5
    Is there a nurse or nursing assistant on staff at all times?
  6. 6
    Are staff members trained to administer residents’ medications?
Senior Woman Sitting On Bench And Talking With Nurse

Inspect the Private Living Quarters

Have a look at the available rooms and apartments. Find out:

  • May residents decorate, paint and otherwise personalize their apartments?
  • Are all of the apartments wheelchair accessible with roll in showers?
  • Are all of the rooms or apartments alike, or is there some variety?
  • Do the apartments have private bathrooms?
  • Do the apartments include a kitchenette?
  • Are the rooms furnished or empty?
  • Are the rooms private or shared?
  • How much is the rent?

Make Sure the Food is Good, Healthy and Plentiful

Have at least one meal at the facility. Eating the food and sitting at table with the residents is a great way to find out exactly what living is like in an assisted living setting. Talk with the cook and find out:

  1. 1
    Are three meals a day provided?
  2. 2
    What times are meals served?
  3. 3
    Is the food well prepared and presented?
  4. 4
    Is the food tasty and nutritious?
  5. 5
    What are residents’ favorite dishes?
  6. 6
    How often does the dining room menu change?
  7. 7
    Can residents get second helpings if they wish?
  8. 8
    Is the food culturally appropriate to your needs?
  9. 9
    Are dietary restrictions taken into account?
  10. 10
    Can residents get snacks if they wish?
  11. 11
    Can residents keep some snacks in their apartments?

Find Out About Activities and Social Events

The opportunity to make new friends and enjoy favorite activities as well as new ones is one of the most important and desirable features of assisted living. Get to know the Life Enrichment Coordinator or Activities Director and find out:

  • Is a monthly calendar of events prominently posted?
  • Does the life enrichment program include activities, exercise, outings, hobbies and new experiences?
  • Does the facility have wheel-chair accessible transportation available?
  • Is there a transportation fee?
  • How frequent are special events?
  • Do volunteers come in to engage the residents?
  • Is live entertainment included in life enrichment?
  • Does the staff encourage resident participation in activities?
  • Is the staff included in activities?
  • Are there shared pets in residence?
  • Can your loved keep a pet? Are there weight and breed restrictions?

Decide if It’s a Nice Place to Visit and to Live

Evaluate the features of the establishment that would make life comfortable and enjoyable. Amenities and facilities within the assisted living may include, but not be limited to:

  • Front porch seating
  • Television lounge
  • Fitness center
  • Garden areas
  • Music room
  • Game room
  • Chapel
  • Library

Sit on the sofas and chairs in the common areas. Spend some time there.

Ask yourself:

  1. 1
    Is the facility comfortable and attractive?
  2. 2
    Are you comfortable? Do you feel welcome?
  3. 3
    Would you want to live in this facility?
  4. 4
    Would your loved one be able to relax and feel at-home?
  5. 5
    Are there pleasant outdoor areas for activities, gardening and recreation?
  6. 6
    Is the facility clean and well-maintained?
  7. 7
    What is the atmosphere in the facility? Is it pleasant or hectic?
  8. 8
    Is it safe? Are doors and windows secure?
  9. 9
    Is the facility cane, walker and wheelchair accessible?

Fine Tune Your Needs

If the answers to all of your questions are satisfactory, you can get down to brass tacks and discuss these important considerations:

What levels of care are provided?

There are basically four levels of care available. They are:

  • Independent living: This is essentially a private apartment arrangement that includes help with chores, such as cleaning and cooking.
  • Assisted living: This is a private room or apartment situation in which the resident receives cleaning service, meals and assistance with activities of daily living (e.g. bathing, dressing, taking medications).
  • Memory care: This type of care is especially designed for people with dementia or Alzheimer disease. It provides frequent check-ins, consistency and set routines to help make the residents’ lives less stressful. Staff who provide memory care services usually have special training.
  • Skilled nursing: This is a nursing home setting in which the patient still has a separate room (as opposed to a dorm situation) but may have a roommate. This arrangement includes constant care, 24/7 for all daily needs. Staff are certified medical professionals.

Determine Whether and How You Can Afford The Facility You Have Chosen

It’s important that the facility you choose will work for you in the long term, and this means it must be affordable. It’s smart to talk with your financial planner early on to determine exactly how you will pay for long term care.

Possibilities include:

  • Identifying possible government assistance
  • Using long term care insurance
  • Using Social Security funds
  • Using retirement
  • Selling assets

Before you give any final answers or sign on any dotted lines, be sure to identify all of your potential funding sources and determine exactly what you can afford.

Make Sure You Will Be Able to Visit Easily

Will travel to the facility be practical for you? If you are looking for a placement for a loved one, it’s best if you can find a good assisted living facility near you so that you can drop in often and be there quickly in case of emergency.

If you must choose a location that is far from your home due to poor choices or high costs in your area, take the commute to the facility into account. If it is daunting, you will be less likely to take an active part in your loved one’s life in the assisted living community.

Evaluate The Facility’s Long Term Potential

Even though an independent or assisted living situation might be just fine now, you’d be wise to choose a situation that offers services that grow and evolve to meet the changing needs of the residents. A facility that can transition residents from independent living to assisted living to memory care and on to nursing care is a real plus. This type of facility eliminates the disruptive and often traumatic need to change locations as needs change.

Draw Up and Carefully Review Your Contract

When you feel completely satisfied and comfortable with your choice, it’s time to start working on your contract. Ask for a contract that clearly outlines fees for all specific details, including but not limited to:

  • Support services
  • Health care
  • Admission
  • Discharge
  • Refunds

Make sure that you understand exactly how you will be charged and what will be included.

Some facilities charge one price that includes all possible needs. Others may have a tiered pricing system that separates several care levels. Still others may have a base price to which you can add services as needed. Talk this over with the manager of the business office and review all written materials carefully before agreeing to anything.

Become a Familiar Face

It’s easy to see that locating and deciding on the perfect assisted living situation can be very complicated. It can take quite a while to find just the right place for your loved one (or you) to enjoy a comfortable, safe, happy retirement.

If all this seems a bit overwhelming, there is a stealth method for choosing an assisted living setting. You can begin your search by becoming a volunteer in these facilities.

If you have a special skill or talent you’d like to share, or if you would enjoy visiting, reading aloud, going on walks, etc., talk with the Life Enrichment Coordinators or Activity Directors at facilities in your area. Volunteering is a great way to get the inside scoop on your local assisted living facilities.

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