Friends of St. John the Caregiver. Evaluating an Assisted Living Facility

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Friends of St. John the Caregiver P.O. Box 320 Mountlake Terrace, WA 98043 www.fsjc.org www.youragingparent.com www.catholiccaregivers.com From A Catholic Guide to Caring for Your Aging Parent by Monica Dodds Loyola Press Checklist for Family Caregivers Evaluating an Assisted Living Facility Name of facility Address Phone Web site/e-mail Contact name / Position Date of visit / Day and time Initial Questions Is Medicare accepted? Medicaid? Long-term care insurance? Private pay? What are the levels of care (independent, assisted living, nursing)? Does the facility have a religious affiliation? Weekly church services? A chaplain? A Eucharistic minister? How long has the facility been under the present ownership/management?

YourAgingParent.com / Checklist for Family Caregivers: Evaluating an Assisted Living Facility - 2 Are the patient s rights posted? Is the facility licensed by the state? Can you get a copy of the most recent state licensing review? Have all deficiencies listed on the review been corrected? Treatment of Residents Does the staff respond quickly to a resident s call button? How do the staff and residents interact? Does your tour guide greet residents and know their names? Staff Are criminal history checks and drug tests done on all staff members? What are the staff positions (administrator, direct care providers, social worker, nutritionist)? How many RNs are on duty for each shift? LPNs? CNAs? Support staff? What is the staff-to-resident ratio for each shift? Do the staff members wear nametags? Care Are there arrangements for care with a local hospital? Is there a doctor on call for emergencies? How often is a registered nurse on site? How often is a physician? Who decides if a resident is no longer eligible to remain in this setting? Who determines the level of care, and how is it determined? Can services be added if the patient needs them? Does the facility develop a care plan for each resident? Who writes the care plan? Are the residents and their family involved? How often is the care plan reviewed? Is there a resident/family council? How often does it meet? What do they talk about? Are there planned activities? How many choices are there? Are any trips scheduled? Are there opportunities for exercise? Is any therapy (physical, occupational, speech) available? Does the food look and taste good?

YourAgingParent.com / Checklist for Family Caregivers: Evaluating an Assisted Living Facility - 3 Are the mealtimes flexible? How many meals and which meals are included in the basic cost? Is room delivery for meals available if your loved one is sick? Are there choices for meals? Can special diets be accommodated? Are nutritious snacks provided? Can a resident select a portion size? Are seats assigned in the dining room? What happens if a resident doesn t like his or her assignment? Environment What is your general first impression? Were you greeted? Is there a pleasant smell? Are accidents cleaned up promptly? Is the hallway clear for wheelchair and walker use? Is parking available? How much does it cost? Is there a common room? A living room? A den? A library? A snack area? A game room? Is the noise level in the halls, common rooms, and dining room comfortable? Are extra services, such as a beauty salon or café, available? Are there areas for visiting indoors? Outdoors? Is the dining room clean, nicely set up, and pleasant? What is your overall impression? Is it institutional? Homelike? What is provided in the apartments (TV, telephone, cable, Internet connection)? Are the rooms furnished or can residents bring in their own furniture? Do staff members treat each other with respect? When are visiting hours? Policies Who handles discharge planning? How is it handled? What is involved in the admissions process? Is there a waiting list? Is smoking allowed?

YourAgingParent.com / Checklist for Family Caregivers: Evaluating an Assisted Living Facility - 4 Under what conditions would a resident be asked to leave? Would there be referral arrangements? Will a person s apartment be held if he or she has to be hospitalized? For how long? Are pets allowed? Safety Does a staff member check in on residents every day? Is there a sign-out and a sign-in sheet to help staff know if a resident is not in the building? Are strangers prevented from entering without permission? Are there intercoms in each unit? Is there a twenty-four-hour emergency response system? Is the facility wheelchair accessible? Does it have well-lit halls? Are there marked exits? Are there handrails in the halls? Are there grab bars and call buttons in the bathrooms? Are there locks on doors and windows? Are fire systems, sprinklers, fire doors, and evacuation plans in place? Is there a generator if the power goes out? Are there locks and peepholes in the doors? Apartments Are several floor plans available (studio, one bedroom, two bedroom)? Is there a call button in the bathroom? Does the bathroom have grab bars? Is it wheelchair accessible? Is there a temperature control system in each room? Is additional storage space available? Is there a refrigerator? An oven? A stove? A dishwasher? A microwave? A sink?

YourAgingParent.com / Checklist for Family Caregivers: Evaluating an Assisted Living Facility - 5 Financial Is there a buy-in fee? Is there a security deposit? Does it include first month s rent? Last month s? What is the monthly rate? What services (utilities, cable) are covered by the monthly rate? Is there a sliding fee scale for low-income residents? Is there a financial qualification? How can payments be made? Is renter s insurance necessary? Are additional services available for an extra fee? Is laundry service available? Are linens changed? How often? Is housekeeping available? Is dressing assistance available? Is eating assistance available? Is mobility assistance available? Services Is bathing assistance available? Is toilet assistance available? Is there a shopping service? Is medication management assistance available? Who distributes medications? Can outside services (such as a visiting nurse) be brought in? Is grooming and hygiene assistance available? Location Is the facility in a convenient location, near shopping, doctor, church? Is it close to public transportation? Does the residence have a bus or van? Where will it go? How are rides arranged and what do they cost? For more free information, visit YourAgingParent.com, a program of the Friends of St. John the Caregiver. To receive a free copy of The Little Book of Caregiver Prayers, send a self-addressed stamped envelope to Friends of St. John the Caregiver, P.O. Box 320, Mountlake Terrace, WA 98043.