HOW TO PICK THE RIGHT NURSING HOME
Selecting the right nursing home for your mom or dad has always required what seems like a never-ending series of difficult decisions. But with cases of abuse and neglect against elderly on the rise, those questions have given way to an even scarier thought: Will my parent be safe? While there are no guarantees, there are ways to vet prospective homes, maximize quality of life, and minimize your risks. Eventually, about 40% of adults over 65 years old will at some point spend time in a nursing home. Of course, there is no foolproof strategy for picking the perfect home. The steps are the same whether you are most interested in preventing the worst or planning for the best. Here is where to start and what to consider:
LAY OUT YOUR OPTIONS: Determine which nursing homes in your area are worth at least a look. Start out by casting a wide net. You can locate the nursing homes in any specified area and tell how they rate on two measures: quality of care and how much time the staff spends with residents. Winnow your list down to only homes with four or five stars on quality of care, and 3.5 to 4.5 hours of nursing care per resident per day. Next, along iwht recommendations from doctors and friends, you can consult for free with a long-term care ombudsman in your area. These advocates for nursing home patients can give you the scoop - good and bad - on local facilities.
TALLY THE COSTS: Once you have determined your wish list, check their costs. The national average rate for a private room in a nursing home is $229 per day and for a semi-rivate room, $205 per day. Expect to pay more if your parent has a health problem like Alzheimer's that requires extra supervision. These costs generally cover room and board, day-to-day nursing, meals and activities. Medicare only covers "medically necessary" nursing home care, and does not cover custodial nursing home care, like help with bathing or dressing.
MAKE MULTIPLE VISITS: Armed with your short list of nursing homes, visit each place more than once and at different times of the day. Make sure you make at least one of those visits in the evening, when staffing tends to be thinner. During each visit, look at how the workers interact with the residents. You are looking for a staff that seems to consider the residency a home, not a hospice for sick people. You should also stop some of the residents and other visitors to ask how they like the staff, food, and other services.
MEET THE KEY PLAYERS: Ultimately the care your loved one gets is only as good as its staff, so it is important to meet as many employees as you can. Set up a time to meet these three people - the director of nursing, the facility administrator and the medical director. Ask them for their qualifications, how long they have been working with the elderly, what their typical day at work is like, and what they like and do not like about their jobs.
ASK THE RIGHT QUESTIONS: Ask the facility if they do background checks on their employees, and if so, ask whether they hire people with criminal backgrounds. You should ask for a copy of their latest federal inspection, which will highlight problems the facility has had, including complaints of abuse or neglect. You shold also find out what each home's policy is for reporting and dealing with abuse or neglect. Finally, see if the administration will share their staff pay rates. Nursing homes tend to have hourly, low-paying jobs, and the higher the rate, the more likely the workers are satisfied.