Choosing the Right Care Center for Loved Ones
May 15, 2025
Moving a loved one into a care facility is an important decision that requires careful consideration. Choosing the right one takes in-depth research to determine if it’s a good fit for the individual’s needs. There are nearly 31,000 assisted living centers in the U.S. The first step in finding care is understanding the difference between types of facilities and whether they can provide the level of attention the patient needs.
Types of Care Centers
A nursing home provides around-the-clock medical care for individuals who will likely remain there until their passing. These are meant for individuals who can no longer care for themselves independently or be cared for by their loved ones at home. A skilled nursing facility may be intended for a short or long period. Still, it provides a higher level of medical attention and is usually for those recovering from surgery or an illness.
Independent living and assisted living centers are for those who need less intensive medical assistance but still require some level of care. A continuing-care center can serve as an intermediary between assisted living and a nursing home. For individuals who need 24/7 care and supervision due to Alzheimer’s or dementia, there are memory care centers that specialize in those specific needs.
Paying for Long-Term Care
Many people are unaware that there is no federal assistance available for long-term care costs. There is one exception in which Medicare will pay for the first 100 days in a nursing home or skilled nursing facility if the patient has been hospitalized for at least three consecutive days within the last year before needing to be transferred to a care facility.
Paying for care can be a significant issue for families as it can become costly. “Nursing homes are one of the most expensive levels of care,” says Amie Clark, a senior care expert. “And most people don’t have that kind of money.”
Long-term care insurance policies may be a wise, proactive investment, but they can also be expensive. In most cases, people pay privately or out of pocket until their resources are used up. According to the NCHS, 62% of nursing home residents use Medicaid as their payment source.
Other Factors to Consider
Unfortunately, nursing homes face their fair share of challenges, such as being understaffed or dealing with infectious outbreaks. This is why it’s so important for families to do their due diligence in researching facilities and not feel rushed into making a decision.
Medicare offers an online resource to find and compare nursing homes, hospitals, and other care facilities in your area. It uses a five-star rating system and provides information about each nursing home, including vaccination rates and inspection reports. Another helpful resource is the Nursing Home Inspect, which compiles nursing home inspection reports.
Experts suggest not relying on ratings alone and focusing on a facility’s staffing, saying that nothing beats an in-person visit.
Here’s what to do when you’re on-site:
- Speak with a range of employees, from administrators to activity managers to culinary directors.
- Take note of response times.“How long does it take for call lights to be responded to?” says Shannon Gimbel, manager of the ombudsman program for Denver’s Area Agency on Aging. “Are residents standing in hallways waiting for medication?”
- Notice the patients’ level of hygiene. “Listen in the hallways,” says Tony Chicotel, attorney for the patient advocacy group California Advocates for Nursing Home Reform. “Look at the hair, clothing, teeth, and fingernails of the residents.”
- Try the food. Sit in the dining hall with other residents and observe the interactions between patients and staff.
- Ask about the activities offered to residents and consider whether or not they will be intellectually stimulating.
While it’s best to find a care facility that’s close to you, traveling farther for the best fit may become necessary.
Once you determine what kind of facility your loved one needs and make payment plans, then you should do your research and take the time to visit all of the centers you’ve narrowed down on your list. With Insureyouknow.org, you may compile your research, keep track of finances, and store your loved one’s medical records in one easy-to-review place. While it will take some research, finding the right place will provide you with invaluable peace of mind.