Steps to follow when choosing the right Assisted Living Faculity (ALF) for yourself.

OregonGuy

Senior Member
These tips reflect my experiences during year 2020 of having lived in two Las Vegas ASFs; one I would give an “F” grade and the other an ”A+”

Step 1 Plan ahead. Take your time Consult with others (but do not trust internet raters such as YELP) You are deciding where, with whom, and how you are going to spend the rest of your life!

Step 2 Decide what services you want. Many ALFs have a base price for room, board, transportation, laundry, TV and internet

Usually included in the basic package are in-house activities such as movies, bingo, exercise groups, and holiday celebrations.

Usually NOT included are ala cart menu for services such as medication management, assisted bathing, etc. Price can very … read the fine print!

Step 3 Develop a budget to determine how much you can afford. My friend @MACKTEXAS lists necessities such as “Clothing and other personal needs, health insurance premiums, prescriptions, and such” to be budgeted for. Also include gifts and, of course, candy! If possible, use a financial planner to address investments and income; some municipalities have Social Services folks who provide financial planning services to Seniors.

Step 4 Make a list of the ALFs you will visit that meet your “must meet” criteria such as cost, services, and location.

Step 5 Obtain and study a copy of the ALF’s contract and price sheet BEFORE your first visit. Develop a list of questions such as …

Is this a lease or can you terminate the contract and leave the facility on 30 days’ notice?

Is there a move-in and/or charge? If so, how much is it?

Step 6 Make your first visit the “free food” one conducted by the ALF hostess, Ask the questions you have prepared.

Step 7 Check out the external area of the ALF.

My “grade F” ALF was in a commercially zoned area and bounded on two sides by heavily trafficked, very noisy streets. It had no outside landscaping. Its physical condition was poor with deteriorating carpets and frequent plumbing and electrical problems.

My “grade A+” ALF was located in a quiet residential area. It had beautiful landscaping which was maintained under contract. I never noticed plumbingor electrical problems. The carpeting and drapes were first class.

Step 8 Evaluate the food

My “grade F” ALF served cheap meals like hamburger helper and fish sticks. Coffee was served in tiny styliform cups. Water, juice, and milk served in tiny plastic cups. Meals served on plastic plates. Utensils are all plastic. Everything on the cheap.

My “grade A+” ALF had great food served on China plates with metal utensils. Drinks served in full sized glass containers.

Step 9 Make an unannounced visit and ask the residents how they feel.

My “grade F” ALF residents complained of a lack of organized activities. The general mood was depressing.

My “grade A+” ALF residents enjoyed many activities and were generally happy. I made many friends there. During my last dinner there many of the residents wished me farewell and sang “for he’s a jolly good fellow!” Sadly, I had to return to Oregon to attend to family matters.
 

When I posted to your other thread yesterday that I would rather stay in my home, I overlooked where you explained it isn't possible for you due to extenuating circumstances.

There are good sides to an assisted living facility. My aunt lived in ALF for the last few years of her life and was happy there. When she wanted her privacy, she had her own room, and when she wanted the company of others, it was available to her.

I hope it works well for you, as you seem very serious about making this change.
 
One thing I have noticed is many/most facilities have "computer rooms". I would want a computer hookup in the privacy my own room. Something else to check on when choosing.
 

A very good list indeed. For some folks there is another crucial detail. In Arizona we have a branch of medicaid which addresses long term care. But you must qualify for the financial assistance. And the facility much accept that assistance as payment. They do not all. Make sure you know if your state has some assistance…what are the financial parameters…does the facility take residents who may become impoverished and how long they must self pay before they can use that kind of financial assistance. The facility will have someone who will talk you thru all this..
 
DH & I shopped ALFs for my mother and a few years later for my FIL. Both were in their 90s when we began looking.

My mother was cognitively slip-sliding-away with vascular dementia and needed a memory care unit. Playing games, watching movies, etc., were beyond her abilities and desires, so they were low priority.

Mom needed a safe, quiet, caring environment with gentle caregivers, which is exactly what I found. She lived there about 18 months before passing away there (with hospice care). Everyone was so very kind to her (and to me) during her time there.

FIL was in better mental and physical condition so DH & I focused more heavily on outings, entertainment, dining options, etc. Found a great place that ticked all the boxes. He was there about 2-1/2 years and passed in October 2019 (also in his AL and also under hospice care). Though he had the beginnings of Alzheimer's he never got to the point of needing memory care. He enjoyed his time there and made many friends - even had a girlfriend for quite a while.

@OregonGuy, your list of what to look for is perfect. I also recommend that people choose an ALF with an eye to what will be interesting and stimulating. Don't be razzle-dazzled by something you won't actually care about when you live there. (If you're not into games, their weekly trivia marathon game shouldn't factor in. If you like to shop or go to museums, look at their master calendar to see what's offered.)

When deciding on ALFs, we chatted up caregiver and kitchen staff, making sure to ask how long they'd worked there. High turnover doesn't bode well.
 
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