Finding Elder Care

At some point, you or someone you know will have to make the difficult decision about placing a loved one into a nursing home. It can be an emotional decision to make, but should not be an uniformed one. Just because a facility has a bed available, does not mean that it's the right fit for your family's needs. If you are considering placing your loved one in the care of a facility, think about what you are looking for as far as the type of care, activities, outings, therapy, and dietary needs. Every facility has minimum state requirements that have to be met regarding all aspects of care and survey results are to be given to you the second you request them. Don't be shy; ask questions! You can ask any staff member in the building questions relating to your loved one's care. This includes the aids providing the direct care all the way to the cook preparing the meals.

The first thing you should notice is the smell of the facility from the second you walk in the door. Every facility will at one time or another have an "odor" to it, but if taken care of properly, it will not last long or permeate through the building. A clean smell is a good indicator that residents are getting prompt care and beds are clean.

Show up to the facility unannounced and do it more than once, each at a different time of day. A surprise walk through is your best bet to see the facility in action since they don't expect you. When you are there, look around and compare staff to patient ratio. Every building has to post how many nursing staff members are on duty for each position required. This can usually be found in the area of the nursing station or front desk. Take notice of call lights that are on longer than 3 minutes. If a facility is understaffed, you will see call lights left unanswered and hear the occasional yell for help out of a room. Keep in mind that the aids work hard but in an emergency, a light will be left on longer than it should.

Typically activities take place before mealtimes since most residents are out of bed. In addition to talking with the Activities Director, stay and observe an activity. Are the residents enjoying the activity and participating? How is the staff interacting if at all?

Make your way down to the dining area during mealtime. Does the meal compare to the menu and does it look appetizing? How long has the cook been working for the facility and what dietary experience does he or she have with the elderly? Appropriate nutrition is extremely important.

With so many questions and concerns it can seem overwhelming. For more information and before making your final decision, contact your local long-term care ombudsman (a person who helps guarantee citizens fair and equitable treatment under the law) or State Survey Agency. A helpful government site to check out is www.hhs.gov. This site will provide you with nursing home summaries, recent surveys, and ombudsman information. It can be a lot of work, but in the end, it will be worth it knowing that you have found a safe, caring and compassionate home for your loved one.