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Long-Term Care

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Assisted Living Communities Checklist


(Page 2 of 2)

Evaluating needs assessments, contracts, cost and finances

  • How long after admission is the resident plan of care written?
  • Are resident and family involved in developing the care plan?
  • How are the resident’s need for services determined, and how often are they reassessed? 
  • What are the resident’s responsibilities regarding the plan of care? Can they be discharged for non-compliance? 
  • Is there a policy for disciplinary action for the residents? What of the staff, what is the facilities policy on disciplinary action for protocol infractions by staff? 
  • Is there a resident advocate available to discuss problems or concerns? 
  • What is the cost of the services? What are billing, payment and credit policies? 
  • Are there any government or other programs available to help cover the cost of services to the resident? 
  • What services are included in the contract? Are there personal care, health care, accommodations and support services? 
  • What are the arrangements for medical follow up with the resident’s doctor? 
  • May the resident maintain their current physician, or does the facility require the use of a staff physician? 
  • Does the resident need to have an Advance Directive for Health Care in place? 
  • What is the facility’s policy on “Do Not Resuscitate” orders? 
  • What hidden costs are there? Are there different costs for various levels of care or categories of service? 
  • How do you pay for additional services? 
  • Are residents able to handle their own finances, with minimal assistance of staff, if they are capable, or does a family member or outside party need to be designated to do so? 
  • What is the policy on insurance and personal property? 
  • What is the resident staff ratio? How does this compare to state and local licensing requirements? 

As you can see, not all of these items can be checked off. They may require more thought or investigation, and certainly a long answer. We do hope, however, that this list will get you thinking about important considerations when choosing an assisted living facility.

 

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