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Long-Term Care

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Choosing Well: Long-Term Care Facilities
By Hilary Gibson, Staff Writer

(Page 2 of 3)

Appearance/Atmosphere - are the kitchen, day rooms and bedrooms clean? Is there good natural and artificial lighting?  How is the temperature?  Are there any unpleasant odors?  Does the facility meet your standards of cleanliness?  Is the facility wheelchair and walker friendly? Are there handrails to help with walking?

Menus - is the menu varied and nutritious? Will the facility accommodate special dietary needs? Is food available throughout the day? Are people allowed to snack? Are mealtimes flexible and varied? How is the food? Visit facilities at mealtime. Does the food look appetizing? Do residents appear to be enjoying their meals? Is there adequate assistance and supervision for those residents who need it? Ask if you can sample the food. What do you think of it?

Bathrooms -
are they private? Are they clean? Are they easy to find? Are they close to where your loved one will be? Do they have grab bars and other safety devices installed?

Alzheimer’s-friendly – if your loved one has Alzheimer’s, is the staff specially trained to care for someone with this condition or other forms of dementia? Is there a separate unit for Alzheimer’s residents? Are Alzheimer residents able to wander safely indoors and outside?

Resident-to-staff ratio - What is the resident-to-staff ratio? How many residents have Alzheimer’s disease? Does the staff provide enough care throughout the disease process, no matter what the disease and/or condition?

Interaction - do all staff interact with residents on a regular basis, and in a friendly and personable manner?

Activities – are there meaningful activities for groups and individuals? Are there therapeutic activities, like music, pet, or plant therapy? Are there opportunities for your loved one to socialize? Are the routines flexible and offer variety?

Visiting – when are you allowed to visit? Can you have privacy with the resident when visiting? Can you take the resident on outings, such as to a park, a restaurant, or to a family function?

Behavior Management - how are different types of behaviors handled? Are restraints used? (Physical restraints like straps, chemical restraints like sedatives, or restraints to the environment, like a locked door.) Don’t be afraid to ask what portion of the residents has to be “medicated” or have to have physical restraints; also, try noticing these things yourself.

Safety - are there smoke detectors? Are there slip-proof mats in the baths, grab rails, bed rails,etc.?Medical Care - can you continue to use members of your loved one’s healthcare team? Is there a doctor always available or on call in case of emergencies? How often does a doctor visit? Can you meet the doctor?

 

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