How to Choose a Memory Care Unit for a Loved One
My parent has dementia and cannot live at home any longer. What are some things to consider in finding an excellent memory care residential facility?
Most memory care units, or special care units, are housed within assisted living or nursing home facilities. They provide many benefits including staff that are trained in dementia care, offer individualized care that minimizes the use of risky psychotropic medications, and create a home-like environment with activities designed to improve residents’ quality of life. To assist you in finding a suitable facility, consider the following steps.
Make a list: To identify memory care residential units in your area, ask your parent’s doctor for a referral or use an online search tool. It is beneficial if the facilities on your list are close to family and friends who can visit often, as regular visits often enhance residents’ overall wellbeing.
Research your options: Once you have made a list, call your local long-term care ombudsman. Long-term care ombudsman regularly visit assisted living and nursing homes and address complaints and advocate for quality care. They also provide information to the public regarding facilities, including which facilities have experienced problems in the past.
If you are considering a memory care unit within a nursing home facility, use Medicare’s nursing home compare tool (Medicare.gov/care-compare). This online tool provides a five-star rating system that can utilize maps and filters to help identify providers that fit your parent’s needs.
Call the facilities: Once you have identified a few potential facilities, contact them to find out if they have any vacancies. Also, you should ask other questions such as if they provide the types of services your parent needs, their fees and if they accept Medicaid.
Tour your top choices: During your tour, notice the cleanliness and smell of the facility. Is it homey and inviting? Does the staff seem responsive and kind to its residents? Taste the food and if possible, talk to the current residents’ family members.
Other areas to ask about are staff screening and training procedures, turnover rates and their staff-to-resident ratios. Confirm that they provide quality activities to keep your parent engaged and learn how they respond to residents who may wander or become confused. It is also a good idea to make multiple visits to the facility including an unscheduled visit in the evening or weekend when the facility is more likely to be understaffed.
Since transitions can be unsettling it is best to find a facility that your parent will be able to stay at for the foreseeable future. It is best to find out what, if any, health conditions might require your parent to leave the facility or move to a higher and more expansive level of care.
To help you choose a facility, the Alzheimer’s Association provides a list of questions to ask at CommunityResourceFinder.org/Alz/Tips – click on “Tips for choosing a residential care facility” under Housing Options.
Paying for care: The average cost for memory care in an assisted living facility is approximately $6,000 per month. The average cost increases to over $8,500 per month for memory care at a nursing home care. However, keep in mind though that the costs can vary widely depending on location and services.
Given that Medicare does not cover long-term care, most residents pay for care from either personal savings, a long-term care insurance policy or through Medicaid (if available) once their savings are depleted. If your parent is a veteran, they may be able to get funds through the Veteran Affairs’ Aid and Attendance benefit. To learn more, ask the facility director or contact the regional VA benefit office at 1-800-827-1000.
Savvy Living is written by Jim Miller, a regular contributor to the NBC Today Show and author of "The Savvy Living” book. Any links in this article are offered as a service and there is no endorsement of any product. These articles are offered as a helpful and informative service to our friends and may not always reflect this organization’s official position on some topics. Jim invites you to send your senior questions to: Savvy Living, P.O. Box 5443, Norman, OK 73070.
