Long-Term Care

When the time comes to place your loved one in a long-term care facility, the decision can be difficult and often overwhelming. Here are some questions you should ask at each facility you inspect in order to ensure quality care:

What to look for when placing a loved one in Long-Term Care

• Is the staff happy and involved with the residents?
• Are there licensed nursing services onsite 24 hours a day, directed by a full-time R.N.?
• What is the resident-to-direct care/caregiver staffing ratio?
• Do you see residents restrained in wheelchairs, unattended and looking over-medicated?
• Are residents involved in activities designed to eliminate feelings of boredom, loneliness and helplessness?
• Is there a physician Medical Director with expertise in gerontology coordinating medical care?
• Is there a full-time Social Worker on staff to help families?
• Does the facility have outdoor areas that encourage exercise?
• Is the outdoor area locked?
• Is the outdoor area accessible from the inside during the day?
• Does the facility have walking paths to encourage physical movement and help relieve frustration?
• Does the facility have pets?
• Do they allow residents to bring their pets to live with them?
• What are the facility's visiting policy and hours?
• Are there any restrictions for children or pets?
• What is the pricing structure?
• Is it a fixed rate or "tiered structure" with added unpredictable costs for increasing levels of care?
• What happens if my loved one's physical condition/behavior deteriorates?
• What would be the circumstances or medical conditions under which I would be required to move him/her?
• How often are residents discharged to hospitals and skilled nursing facilities for medical problems?
• If a resident needs to go to the emergency room or hospital, does a staff member accompany them at no extra charge?
• Does the facility provide care for residents at all stages of dementia - from early stages through hospice?
• Does the facility collect data on clinical outcomes?
• What are the clinical outcome results for residents?
• How is the Living Environment?
• Is it homelike?
• Is it carpeted?
• Are there any unpleasant odors?
• Are the planned activities appropriate for the age/skill levels of the residents?
• Are there activities of interest to both men and women? Are there community outings or are residents isolated from the outside world?
• What is the dining area like?
• Is food service available to residents 24 hours a day?
• Are families invited to meals at no extra charge?
• Are there routine care planning meetings and are the family and resident included?
• Are the residents dressed and out of bed by 9 a.m.?