Assisted Living: Weighing the Options
There is no standard for assisted living residences, which vary in size, appearance, cost, and services offered. Some residences provide only meals, basic housekeeping, and help with the activities of daily living (ADLs) such as bathing, dressing, and grooming. Others go beyond these services and furnish transportation and certain health services. Facilities range from small homes with just a few residents to high-rise apartment-style buildings with hundreds of residents. Living areas could be a single room or a full apartment with a small kitchen, with prepared meals also served in a common dining area.
If assisted living sounds like the right choice for your loved one, here are some steps to help begin your search:
Start by making a list of residences to visit. The following resources can help:
- The state or local Area Agency on Aging (AAA).
- The local yellow pages.
- The long-term care ombudsman’s office .
- The state licensing agency.
- Friends and neighbors.
- Retirement guides.
- The Assisted Living Federation of America (ALFA), which provides lists of its member residences by each state. These are mostly for-profit residences. The lists do not include all residences in each state.
- The American Association of Homes and Services for the Aging(AAHSA), which provides lists of member residences by state. These are not-for-profit.
- The Eldercare Locator helps you find the closest Area Agency on Aging (AAA) office and the state long-term care ombudsman’s office.
Keep in mind that assisted living residences are not defined or regulated by the federal government. Each state decides how they’re licensed. Be sure to find out from the AAA or state health department how the state where you are searching handles this. Make sure all the residences on your list are appropriately licensed—if one of them isn’t, cross it off and move on.
Check, too, with the state licensing agency and ombudsman’s office to see if there have been complaints filed against the facilities on the list. Don’t assume that a state license ensures quality care.
Next: Make the Call
Call each potential residence and ask for a general overview of their facilities. Remember that the person you speak with will most likely be a marketing or sales representative whose job is to promote the residence.
If you’re still interested after the call, ask that more information be mailed to you or your loved one, including:
- A price list.
- A map or floor plan.
- A copy of the residents’ rights and rules.
Copies of all the documents that will need to be signed before admittance, including, most important, the contract (sometimes referred to as residency, occupancy, or admission agreements).
Once you receive these materials, review them carefully with your loved one and write down all the questions that come to mind. Strike any residences from your list that don’t meet your criteria.
Plan to Visit
First, it is imperative that you involve your loved one in the choices about his or her care. Take them with you on the tours of each facility and let them handle as much of the talking and decision-making as possible.