Good nursing homes tips
Dear Savvy Senior,
Can you give me some tips on picking a good nursing home for my mother who has Alzheimer’s disease? I’ve been taking care of her at home, but she’s gotten to the point where she’s too much for me to handle.
Choosing a good nursing home for a loved one with Alzheimer’s disease is a very important decision that requires careful evaluation and some homework. Here are some steps that can help you find a good facility and avoid a bad one.
Make a list: There are several sources you can turn to for referrals to nursing homes in your area: Your Area Agency on Aging (call 1-800-677-1116 for contact information); your mom’s doctor or nearby hospital discharge planner; or friends, family or neighbors who may have had a loved one in a nursing home. Ideally, the nursing homes should be close to family members and friends who can visit often, because residents with frequent visitors usually get better care.
Compare nursing homes: To research and compare the nursing homes on your list, use Medicare’s nursing home compare tool at medicare.gov/nursinghomecompare. This tool provides a 5-star rating system on recent health inspections, staffing, quality of care, and overall rating.
You should also contact your local long-term care ombudsman. This is a government official who investigates nursing home complaints and can tell you which ones have had problems in the past. To find your local ombudsman, call your Area Agency on Aging or see ltcombudsman.org.
Contact the facilities: Once you’ve narrowed your search, call the nursing homes you’re interested in to verify that they have a dementia unit that can facilitate your mom’s needs. Also, find out if they have any vacancies, what they charge, and if they accept Medicaid.
Tour your top choices: During your nursing home visit, notice the cleanness and smell of the facility. Is it homey and inviting? Does the staff seem responsive and kind to its residents? Also be sure to taste the food, and talk to the residents and their family members, if available. It’s also a good idea to visit several times at different times of the day and different days of the week to get a broader perspective.
Also, find out about their staff screening (do they do background checks) and training procedures, staff-to-patient ratio, and the staff turnover rate.
To help you rate your visit, Medicare offers a helpful checklist of questions to ask at medicare.gov/nursinghomecompare/checklist.pdf, as does the Alzheimer’s Association at alz.org/visitinganursinghome.pdf. Print these lists from your computer and take them with you on your visit.
Paying for care: With nursing home costs now averaging $250 per day nationally for a private room, paying for care is another area you may have questions about or need assistance with. Medicare only helps pay up to 100 days of rehabilitative nursing home care, which must occur after a hospital stay.
Most nursing home residents pay for care from either personal savings, a long-term care insurance policy, or through Medicaid once their savings are depleted.
The National Clearinghouse for Long-Term Care Information website (longtermcare.gov) is a good resource that can help you understand and research your financial options. You can also get help from your State Health Insurance Assistance Program (SHIP), which provides free counseling on all Medicare and Medicaid issues. To find a local SHIP counselor visit shiptacenter.org, or call 1-800-677-1116.
For more information, see Medicare’s online booklet “Your Guide to Choosing a Nursing Home” at medicare.gov/publications/pubs/pdf/02174.pdf.
Jim Miller is a contributor to the NBC “Today” show and author of The Savvy Senior. Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org.
Your Opinions and Comments
Be the first to comment on this story!
You must be logged in to post a comment.
South Texas Living Archives
A creepy Halloween party appetizer (October 19, 2016)
Applying for Social Security (October 19, 2016)
Chili Cook-off to benefit Wilson County youth (October 19, 2016)
DRT joins Heritage Music Festival (October 19, 2016)
DRT to meet Oct. 24 in Kerrville (October 19, 2016)
Enjoy Harvest Festival in Marion (October 19, 2016)
Enter Pecan Bake Show (October 19, 2016)
Little Golden Books (October 19, 2016)
Make plans for Halloween fun and fall fests (October 19, 2016)
Meeting the needs of the community: St. Vincent de Paul (October 19, 2016)
R&B legend opens Carver season Oct. 29 (October 19, 2016)
Readers share their spooky tales, part two (October 19, 2016)
Road Runners plan Oct. 22 group run (October 19, 2016)
See country legends Oct. 22 (October 19, 2016)
Try your hand at square dancing (October 19, 2016)
Turn yard waste into gardener’s gold (October 19, 2016)
Baptist church to ring in 100 years (October 12, 2016)
Church plans Junk and Treasure Sale (October 12, 2016)
Comal Country Music Show is Oct. 18 (October 12, 2016)
Davy Crockett (October 12, 2016)
Enjoy fried chicken in Poth Oct. 23 (October 12, 2016)
Enjoy this flashy winter resident (October 12, 2016)
Join in the 2016 Rosary Crusade (October 12, 2016)
National Charity League plans celebration (October 12, 2016)
New program increases student knowledge of E-cigarette dangers (October 12, 2016)
Play bunco in La Vernia Oct. 22 (October 12, 2016)
Pondering a poignant letter from the past (October 12, 2016)
Save the date for Oct. 22 March for Life (October 12, 2016)
Should you redeem old savings bonds? (October 12, 2016)
Show Barn Cook-off approaching (October 12, 2016)
Sutherland Springs Old Town Day (October 12, 2016)
The business of aging grows more complex (October 12, 2016)
Try your luck at China Grove Lions Club Casino Night (October 12, 2016)
Atascosa County Craft Show seeks vendors (October 5, 2016)
Beautify your landscape with cacti (October 5, 2016)
Experience Oktoberfest in San Antonio (October 5, 2016)
Gilded peanuts and golden memories — recalling past Floresville Peanut Festivals (October 5, 2016)
Japan Fest set for Oct. 16 (October 5, 2016)
Meal service delivery options for seniors who don’t cook (October 5, 2016)
Oktoberfest comes to Floresville Oct. 15 (October 5, 2016)
Past Pirate champions will never be forgotten (October 5, 2016)
Readers share their ‘spooky’ tales (October 5, 2016)
Sacred Springs PowWow (October 5, 2016)
Shorter teapot (October 5, 2016)
Sinatra tribute comes to Kerrville (October 5, 2016)
Stockdale librarian updates Blue Bonnet Club members (October 5, 2016)
Sunnyside 4-H Bake Sale (October 5, 2016)
Time for turkey in Cestohowa (October 5, 2016)