How to Choose a Nursing Home

One of the most difficult days for a family is when they realize their loved one needs care they simply can’t provide. When that day comes, you want to ensure that the long-term care facility you choose is the best fit possible.

Unfortunately, it can be overwhelming to sort through the wide variety of nursing homes and long-term care options. How can you be sure you are choosing the facility that fits your family member’s needs and will provide them with quality care and assistance?

If you are searching for a quality facility that offers compassionate care, consider some of these critical points:

What Level of Care Does Your Loved One Need?

One of the most important factors that can help you narrow down your nursing home options is the level of care that your loved one needs. Take stock of your loved one’s physical and mental health and consider the following:
Brain problem icon
Does your loved one have Alzheimer’s, dementia, or a cognitive condition?
Patient on wheelchair icon
Does your family member have physical limitations?
Patient on bed icon
Are they confined to a bed or wheelchair?
Helping elder icon
Is your loved one mobile and independent or self-sufficient?
Confused elder
The level of medical care your family member needs will affect what type of facility you should focus on. Some facilities cater to memory care, while others are little more than elderly communities that check on primarily self-sufficient residents. Narrow down the field by searching for facilities specializing in the type of medical care your loved one needs.
Do they need regular physical therapy?
Do they need skilled nursing care?
Do they have any mental conditions the staff should be aware of?

WHAT IS THE LEVEL OF STAFFING?

Staff percentage
Recent surveys reveal that almost 94 percent of nursing homes are facing staffing shortages. Studies also indicate that staffing shortages can impact care and result in abuse or neglect. Alabama does not list a minimum resident-to-staff ratio, but federal guidelines do. In addition to nurse to resident ratios, you’ll also want to consider nursing home hiring practices and training.

Consider asking these questions:

  • Does your facility meet the federal guidelines stating that a nursing home needs to provide 24-hour licensed nursing services to meet the needs of each resident?
  • Does your facility employ a registered professional nurse at least eight consecutive hours per day, seven days a week?
  • What is your resident-to-staff ratio?
  • Does the staff have access to additional training or education?

WHAT IS YOUR BUDGET?

Woman budgeting

A long-term care facility or skilled nursing facility can be costly. Budget limitations may limit the number of options you have to choose from. Start by establishing a monthly budget and asking yourself:

  • Will insurance cover any of the costs?
  • Is your family member on Medicare or Medicaid?
  • Is your family member a military veteran?
  • Does your family member have money saved for this type of situation?
  • Are you willing to contribute to the costs of a nursing home?

Get More Information

Reviews popping out of a laptop

Do your homework. Check reviews online, compare homes using the government’s nursing home search tools, and ask around for referrals. Resources may include:

What to Look for When You Visit

You should visit some of the top nursing homes on your list. Ideally, you will want to make multiple visits during different times of day to get a good feel for the facility.
  • Is the facility clean and well-kept?
  • Do rooms look clean, linens washed, or are there strong or unpleasant odors?
  • Does the facility look safe and well maintained?
  • Are there tears in the carpets or rugs, stained ceiling tiles, or broken furniture or stair railings?
  • Does equipment such as walkers and wheelchairs look like they are in good condition?
  • Is there adequate handicapped access?
  • Are a variety of activities available for residents?
  • Does the food look appetizing and nutritious?
  • Do the residents and staff appear to be happy and content?
  • Is the staff friendly and willing to answer your questions?
  • Does the facility perform a background check on new hires?
Nursing Home Room
Nursing Home Recreational Activities
Nursing Home Patient Care
Nursing Home Facilities

Other Things to Consider

Grandparents with their grandchildren

Some requirements will vary for each family, depending on their loved one’s needs. Families may want to consider:

  • Is a larger, more social facility or a smaller, quieter facility better for my loved one?
  • Is the facility close enough to allow for frequent visits?
  • Does the facility have flexible visitation schedules?
  • What is the administration’s willingness to communicate with family members?
  • What level of independence does the facility offer residents?
  • What level of choice do residents have?
Warning Sign

Warning Signs

During your visits and throughout your research, it’s also crucial to look for warning signs about nursing homes, such as:
  • A history of health inspection violations
  • A history of federal fines and penalties
  • Past accusations of abuse or neglect
  • An administration that avoids your calls or does not clearly communicate
  • Unfriendly staff members
  • Staff members who do not talk to residents or call residents by their names
  • An unclean facility
  • Residents who look unhappy
  • Residents with unchanged linens or bandages
  • Facilities that do not require background checks for staff
  • A bad “gut feeling”
File review icon

Be advised, when you do choose the right nursing home, always be sure to carefully read all contracts and paperwork provided before signing. If you do not understand something, ask questions. You may even want to consult with an attorney.

Some nursing homes insert binding arbitration contracts into their intake paperwork. These contracts mandate that any dispute a resident has with the facility must go through a process known as arbitration. Essentially, it may prevent residents and their families from filing civil lawsuits against the facility.

If you have questions or concerns about the care your family is getting in an Alabama nursing home, talk to an experienced and compassionate attorney at Gartlan Injury Law today.

Share this image on your site
  • NAMIL
  • American Association for Justice
  • BBB New
  • TTLA
  • MVTLA
  • Million Dollar Advocates Forum
  • Multi-Million Dollar Advocates Forum
  • Avvo Rating
  • Avvo Client’s Choice 2018
  • Avvo Top Contributor 2017