Business Reputation

• Is the facility licensed and operating legally?
• Has its license ever been revoked — if so, why?
• Are recent inspection reports available?
• How long has it been in business?
• Are financial records available?
• What about references?

You can find answers to these questions by contacting the state licensing agency (search for the state name plus licensing — for example, Minnesota licensing — on the Internet), the local agency on aging and the Better Business Bureau.

Quality

• Do residents look as if they have their needs met?
• Do they seem to be content and interact well with the staff and owners?
• Do staff and residents treat one another with dignity and respect?
• Do staff members take the time to listen and respond to residents' needs?
• What is the staff-to-resident ratio?
• Are residents' rights posted?
• What training does the staff receive?
• What do residents and their relatives say about their care?

Safety

• Does the facility have requisite safety equipment, such as fire extinguishers, smoke detectors and a sprinkler system?
• How's the sanitation?
• Are doors and locks secure?
• Is someone on duty 24 hours a day, or is there an emergency call service?
• Is a doctor available around the clock?
• Are there obvious hazards?
• Is medical care handled professionally?
• Can those with physical disabilities get around the facility?

Amenities

• Is the facility attractive and in good shape?
• Does it have the style of living desired, such as a private apartment, private room and private bath?
• Is it comfortable enough, with conveniences such as equipment, electronics, gardens and adequate space for entertaining or hobbies?
• What meals are provided, and are the quality and quantity up to par?
• Does the food suit your parent's taste, nutritional requirements and cultural preferences?
• Are the social interactions and recreational programs appealing?

Next: Questions to consider about location»