What to Look For
Once you have made your selection, make an appointment to tour the facility.
You may want to take this list along with you to help you evaluate the
facility.
Tour facility
- Visit the facility you are interested in more than once
and at different times. Observe staffing on evenings and weekends. This
can reveal a lot about how the facility is staffed.
Services
- Does the facility meet your needs? It's OK to actually observe
group rehab services, but ask first. Is there sufficient attention given
to each resident?
Fees
- Request a written description of fees.
Odor
- Walk around the entire facility. Is there an odor? Ask about
it!
Noise
- What is the noise level? Is staff calling out to each other
down the hall?
Cleanliness
- Is the facility clean? Are the floors free from spills?
Is staff wearing clean uniforms, etc.
Lighting
- Are the hallways sufficiently lit? How well are the residents'
rooms and common areas lit?
Mealtime
- Observe mealtime. Do the residents appear happy with the
meals they are served? Look at the menu. Are they offered choices? Do
you notice any resident having difficulty using a fork, spoon or cup?
Is there someone there to help them? Are choking posters within view?
Temperature
- Does it feel too cold or too hot? Are air conditioners blowing
directly on residents? Are you comfortable?
Staff Interaction
- Observe staff interacting with each other, with residents
and with families or visitors. Do the staff treat the residents respectfully?
Satisfaction
- Do residents appear happy? How about the staff? Speak with
visiting families. You can request to go to a resident council meeting.
Privacy
- Is there a place you can visit with your loved one in privacy?
Is staff discussing patient care freely within hearing distance of residents
and visitors? All staff should knock on a resident's door before entering
his/her room.
Credentials
- Is the facility Medicare/Medicaid certified? Is the most
recent federal/state survey posted in the lobby or a common area? Does
the facility have any deficiencies? If so, ask to see a plan of correction.
Is the facility JACHO accredited?
Staffing
- Ask what the ratio of nurses and certified nursing assistants
are to a resident. This should be posted in a common area. Are the specialty
units, such as dementia, short term rehabilitation or ventilator units,
staffed differently?
Resident Care
- Are the residents well-groomed and appropriately dressed?
Are they comfortably positioned?
Security
- How does the facility protect residents from wandering outside?
How easy was it for you to get in? Were you asked for identification
and the reason for your visit? Ask how residents' personal items are
protected.
Safety
- Are residents assisted when needed? Check for smoke detectors,
fire alarms and sprinkler systems. Ask if the facility has a procedure
in place to screen for abuse and neglect.
Communication
- What language is the staff speaking? Can they communicate
with you and your loved one?
Mobility
- Are hallways and rooms clear for residents to move around
freely? Are obstacles in the way such as linen, medication and/or cleaning
carts? These should be on one side of the hallway.
Activities
- Review the monthly activity calendar. Is there a variety?
Can residents make a choice?
Postings
- In addition to surveys, look for information on resident
rights, the Ombudsperson, and the Department of Health hotline number.