Finding an eldercare facility — one that provides quality care for your loved one — can greatly contribute to your ability to address the needs and concerns of all involved. This checklist will assist you in the process of locating a facility for your loved one.

In most states, group homes, assisted living residences and nursing facilities are registered, licensed or certified by a state department or agency that issues and renews licenses. You can check with the state to see if there are any complaints about the centers, but you’ll also want to go further in evaluating the programs.

The following guide and checklist can help you gather the information you may need to make a well-informed decision when choosing an eldercare facility. Try to gather as much information as you can, be clear about what is most important, and trust your instincts.

First, get some basic information over the phone

When you’ve gathered a list of centers that meet your needs, you might want to call each one to get additional information before planning a visit. Below are some suggestions for questions you may want to ask.

Admission criteria

Do you need a referral to be admitted to the facility?
What is the process for admission?
What are the specific criteria for admission to this facility?
What levels of care are provided by the facility?

Costs

What are the initial fees and when do they need to be paid?
What is the cost per month?
What services are included in the basic fee?
What services are considered extra and what do they cost?
Are there hidden costs?
How are the fees established?
How often can the fees change?

Making on-site visits to eldercare facilities

Once you’ve spoken to the center's director or admission coordinator, you’re ready to schedule a site visit. During your visits, try to gather information through questions and observations. You can use the categories below as guidelines for your on-site visits and assessments.

Meals

Are meals eaten in a dining room?
Is the dining area attractive, clean and welcoming?
What are the hours for meals?
Can family members eat with the resident?
What is the cost for an additional meal?
Does mealtime seem pleasant for residents?
Is there a selection of entrees at each meal?
Is the food nutritious, tasty and attractive?
Can special diets be accommodated?
How are residents who are unable to go to the dining room accommodated?

Policies

Are there "house rules"? Are the rules reasonable or do they seem overly restrictive?
Are pets allowed? If so, what are the guidelines?
Is smoking allowed on the property? If so, where
Can a resident bring furniture and other personal possessions
If a resident is hospitalized or needs more intensive care for a time, will their bed, room or apartment be available upon their return?
Is there a policy regarding visitors?
Under what circumstances would a resident be asked or required to move? How much notice is given? What is the refund policy?
How are complaints addressed?

Facility

What is the size of the residents’ living quarters? Are there different options available?
Are both private and shared accommodations available?
How much storage space do residents have?
Are there adequate ventilation, heating and cooling systems?
Is the entire facility accessible for individuals using canes, walkers or wheelchairs?
What types of assistance are available in an emergency? Who pays for these services?
What kind of security systems are in place?
To what extent does management assume responsibility for the security of personal belongings?

Staff

Who are the primary staff members? What are their roles, responsibilities and schedules?
Who would be your primary contact person for questions and concerns?
What standards are in place regarding staff qualifications and experience?
What is the staff turnover rate?
What staff-to-resident ratios are maintained?
Does the staff seem open, friendly, professional and knowledgeable about the residents and the facility? Do they seem to enjoy their work?
What is the administrator's philosophy toward residents and family members?

Programs

What social, therapeutic, recreational and spiritual programs are available to the residents?
Do residents and family members have access to a schedule of activities free of cost or are there additional charges?
How are families involved?
How does the facility communicate with residents and their family members?
Is there a resident's council or other organized way to get input from residents?

Transportation

What types of transportation are available to the residents? Is there an additional charge for these services?
Is an "errand" service available?

Finding a senior care home for a family member can be a challenging task, both emotionally and logistically. By comparing options and gathering as much information as you can, you’ll have an easier time – and more peace of mind – making the best decision for your loved one.

For no-cost help finding senior care near you, visit Agingcare.com.

Sources:

Agingcare.com. Accessed February 28, 2024. Top 25 Questions to Ask a Home Care Agency.

Humangood.org. Accessed February 28, 2024. Making the Right Decision: 9 Questions to Ask Senior Living Communities.

The Washington Post. December 17, 2023. Questions to ask before choosing an assisted living facility.

Questions to ask when choosing an eldercare home

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