U.S. News bi-annual ratings: Find the Best Senior Living Communities Near You

Lethe200

Senior Member
Do be aware that EVERY facility has its own "atmosphere", or "culture", if you prefer. We investigated 8 different senior facilities near us for my MIL, and every single one was distinctly different from the others. Only YOU can decide what's important to you and what suits you best. There are no federal guidelines, outside of health/safety or licensing regulations, that govern senior living facilities.

Management can set up what rules, staffing, activities, amenities, etc., are offered, and those can be changed without residents' input. You are essentially a renter, not an owner, so always review the legal contracts carefully, with professional advice if at all possible.

Always ask about future scenarios, especially if you are a couple deciding where to go. How does the facility handle the financial end of one spouse needing SCN/Memory Care but the other wants to move to a smaller unit rather than keep the original larger unit? What is the policy for residents who run out of funds? With the Medicaid cutbacks, I would expect a number of facilities to close. Rural areas will be especially vulnerable.

Updated link: 2025 US News Sr Lvg Options

Spouse is very fond of the senior facility we selected for his mother. It showed up under the Search function and its rating seemed accurate and fair to us (my MIL died some years ago, but we still keep in touch with the facility and donate annually). I was happy to see it rated very well; one of the strongest reasons we approved of this facility is that according to state records (something one should also check), it has one of the lowest staff turnover rates in the entire state.

Do as much research as possible BEFORE you need to move. Those glossy PR brochures and enthusiastic sales pitches are no different than TV ads telling you the way to a happy home is their new whiz-bang air freshener, or that buying that fancy new car is going to transform you into Cary Grant or Sophia Loren, LOL. In fact, most facilities pay for outside sales help from health management companies or independent consultants - such sales reps aren't actually part of the facility staff at all.
 

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Thank you for posting this. We also needed to find a place for my Mom when my step father passed away in California. Mom loved it there with him but couldn't stay there alone so we all decided we'd look near our home in Wisconsin. Most around here were relatively new at that time so there weren't that many reviews, but we researched the places that were affiliated with them.

Almost all had waiting lists. Mom stayed with us so that wasn't a problem but it might have been. Its so important to know about dependant vs independent living, meals included vs meal availability, a bus or transportation, security, rent, security., etc.

Eventually she decided to choose an independent living, one bedroom apt. She had a one year lease with 14 meals a month included. It was pricey but with meals included the residents socialized and also didn't skip those meals because they had already paid for them. There were good activities and a nice staff. She was close by so I could get there often and quickly if necessary.

There was only one thing negative and that was after she died,,,in the lease which we were aware of...was a clause that said we were responsible for one months rent until the apartment could be rented. Even with a "waiting list" it took them 3 months to rent out her apartment!
 
These lists are helpful in winnowing down the choices but there is no substitute for going into the ones on your short list and experiencing them in person.

One of the best facilities in my area is owned by the local hospitals and caters to high net worth customers for rehab as well as assisted living and long term care. It receives more than an average number of complaints due mainly to the residents high standards and ability to navigate the system.

A few of the others with a lower number of complaints are less desirable and are home to Medicaid patients that have fewer options and are less likely to use the system for reporting issues.

I can’t think of anyone in my family that actually chose to move into a specific facility until faced with a life altering emergency.

In this area, we don’t always have great choices in those situations.

Usually a Social Worker is assigned at the hospital and provides a short list of five options, they ask you to pick three and hope for the best.

Having the ability to pay is a huge factor in having any leverage over which facility is available on short notice.

My mother was in a middle of the road facility that was a great value, at $50,000.00/year fifteen years ago, but we still needed to keep an eye on things and constantly advocate for her.

Having a good support network is as important as choosing a good facility.

“…and the best that you can hope for is to die in your sleep…” - Kenny Rogers, The Gambler
 

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