When is placement appropriate?  

• Family member needs specialized care.
• A senior community is the only setting where care needs can be met.
• Family is no longer physically or emotionally able to provide care.
• Post-hospital rehabilitation.
• All other alternative have been exhausted round-the-clock care is required.
• A senior community is more cost effective.

Who should be involved?

• The family member who needs care.
• Primary caregiver and other family members.
• The POA (Power of Attorney) for healthcare and finances.
• An elder law attorney.
• Health care (doctor) and social service professionals.

• Assisted Living
• Supportive Living
• Alzheimer's & Memory Care
• Skilled Nursing Facility 
• CCRC - Continuous Care Retirement Community which has independent living, assisted living and a skilled nursing facility on the same campus  

How to begin:

• Identify the needs of your family member.
• Get recommendations from Elderwerks.
• Research skilled nursing facilities online at www.medicare.gov.  Keep in mind the star rating is not the best way to pick a nursing home.  You must tour.  Rehab is not the same as long-term care needs.

Collect information:

• Is the facility licensed by the state?
• What level of care and services are provided?
• Does the skilled nursing facility have certification by Medicare/Medicaid on all beds?
• Does the community generally meet the needs of your family member?

• Observe the atmosphere/attitudes of the staff.
• Observe the appearance of the residents.
• Is the building clean, pleasant and generally odor free?
• What are the living arrangements/options?
• What does the average routine in a day look like?
• Ask for a daily and/or weekly menu.
• Does the community charge for activities?
• Ask to see the state inspection report/survey.  BE REALISTIC!
• What are the procedures on move-in day?  

Seek counsel from organizations that can help you on how to handle this difficult day. Elderwerks, and The Alzheimer’s Association are available to help.