Coming to the realization that you can no longer care for a loved one is never arrived at easily. It is often a difficult decision and one that requires input from the entire family.

Before deciding to place a loved one in a nursing home explore other options like home help, home health, and adult daycare. These options may be less expensive and more appropriate for your loved one than the 24-hour care that nursing homes provide.

If a nursing home is your only option or if you have determined that a nursing home is the right choice for your family, following these simple steps will pay off immeasurably in your peace of mind and your loved one’s satisfaction and happiness.

• Make a personal inspection. Putting your feet on the floor of a prospective home is essential. There simply is no substitute for your own eyes, ears, and nose. Check things out for yourself.

Visit at odd times, particularly nights and weekends. Look at resident rooms, activity areas, and bathing areas. Are they clean, neat and well maintained? Is there evidence of water intrusion or bug infestation? The outward appearance of residents is often the best indication of the kind of care they are receiving.

Check for smells and smiles. Odd or pervasive smells should be questioned and investigated. Staff members who appear harried or stressed may be working without the necessary support or supplies. Pay close attention how staff talks to residents. (A recent report by the Health Care Financing Administration found that 54% of the nation’s nursing homes were dangerously understaffed.)

• Ask questions. Talk to residents and family members if possible. Ask them what they like about the facility, and what they dislike. Speak to the people directly involved in giving care, not just the director of nursing or marketing. Most important of all, ask about staff morale – it’s often the best indicator of the quality of care you can expect.
• Check the home’s history. Each home has a story to tell, and sometimes, it’s a horror story. Research the history of the nursing home before allowing your loved one to live there. Find out from former residents and their families what kind of experience they had with the facility. Would they hesitate to put another loved one there? Ask a medical professional – your doctor or nurse – what they know about it. Ask your lawyer whether he or she has had experience with the home.

Also, nursing homes are inspected each year by the state. The latest survey should be posted in a prominent place and, by law, it must be made available to the public. Ask to see it. Pay attention to how many and what type of deficiencies were cited.

• Choose a convenient location. Find one that meets your loved one’s needs and, if possible, is within a reasonable driving distance so frequent visits can be made. Even a home 30 minutes away can become a hassle over time. There’s comfort in being close.

Once a facility is chosen remember to follow-up and continue to monitor your loved one’s care. Your involvement throughout their stay can make the difference between good care and bad care.

Jim Wilkes is the co-founder of Wilkes & McHugh, a law firm that has been nationally recognized for its work on behalf of nursing home residents. If you would like more information on choosing a nursing home contact Wilkes & McHugh at (800) 255-5070.

 

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