- Learn as much as you can about the type of services your family member/ friend may need and the facilities you're considering.
- Visit several homes Ask to see floors not on the prearranged tour, stay through at least one meal and if possible, talk to residents and visitors as well as staff. FRIA members can take its nursing home checklist with them when visiting nursing homes.
- Eliminate sub-standard homes Recognize them by visiting, networking within your community (remember FRIA's helpline), and checking state and federal websites giving information about inspection survey results and quality of care indicators.
- Focus on your relative's preferences, not yours An on-site chapel or kosher-style food may be a deciding factor. Some people find a structured, formal atmosphere comforting. Others prefer a home that appears less regimented, allowing Alzheimer's residents to choose their own clothing and wander freely within a monitored space. For an alert, outgoing person, social activities may be more important than the range of medical care the home provides. If your relative has strong feelings about end-of-life care, you should check which homes have religious or morally based policies that limit resident options.
- Connect with community resources and other families. Many communities offer services for the aging. Citizen advocacy groups like FRIA are also good resources as are churches, special groups like the Alzheimer's Association chapters, local long term care ombudsman programs and Area Offices for the Aging.
- Understand internet resources Much of the information available on websites, such as the Medicare quality indicators that can be viewed on medicare.gov and the New York States Department of Health website, are self reported. A good home is likely to report honestly; other are not as diligent with reporting information in a timely accurate manor. State agency surveys or inspections reports vary in thoroughness and focus from year to year. Websites are helpful but do not replace personal visits.
- Expect to continue an active caregiving role after placement. An active and informed family member or friend offers the best possibility for quality care. Try to visit regularly and at unpredictable times, monitor care and work to resolve any problems that arise.
- Don't feel guilty. Progression of illness, family circumstances or housing can all impact the decision to place someone in a long term care facility. Your role as a part of your friend or family member's life can continue no matter where they are living.
- Short-term rehabilitation in nursing homes usually ends with a return to home. If long-term care is needed after the short-term rehab or Medicare ends, the home cannot insist on a move to another nursing home, although many may try.
