| Overall Qualityo What is your impression of the | | | | - Is the food fresh? |
| residents and they're level of care?o How are the | | | | - Do the residents get help eating and drinking? |
| resident's appearances? How do they look, smell, and | | | | - Are residents and their families involved in the food |
| feel?o Are there specific plans for each residents | | | | selection process? |
| care?o Does the Assisted living home offer | | | | - Do the caregivers meet specific dietary needs? |
| specialized care for special needs like dementia?o | | | | - Snacks? |
| Does the home offer visits or access to doctors, | | | | - Fresh Drinking Water? |
| RNs, and clinics, etc?o Do the caregivers drive | | | | Living Space and Accommodations |
| residents to medical appointments and is there an | | | | - How is the overall look and feel of the place? |
| extra fee?o Is there a plan to respond to medical | | | | - How does the home smell bad? |
| emergencies? | | | | - Climate control? |
| Caregivers & Other employees of the homeo | | | | - Safety measures such as special showers, locked |
| What are the requirements for caregivers to work in | | | | drawers. |
| the home?o Make sure the caregivers interact nicely | | | | - How is security? |
| with the residents.o How long has the manager been | | | | - How much space is provided for the sleeping area, |
| working at the home?o How is the employee | | | | living rooms, and dining areas? |
| turnover in this assisted living facility?o How many | | | | - Are the floors slippery? |
| caregivers are working in the daytime, at night, and | | | | - Can the home accommodate a wheel chair? |
| on the weekends?o How many residents are there in | | | | - Do they have backyards or gardens for resident |
| the home for each caregiver?o Do the employees | | | | gardening? |
| speak and understand English or any other needed | | | | - Do they allow pets in the home? If so, what type |
| language?o Does the staff know how to work with | | | | of pets and are there additional fees? If not, are |
| Alzheimer's, Parkinson's disease and dementia?o Do | | | | pets allowed to visit? |
| the caregivers talk to residents in a friendly manner?o | | | | Licensure and Certification |
| Do the caregivers respond quickly to resident | | | | - Is the residence licensed by the state? |
| requests?o How do employees respect resident's | | | | Proximity Accessibility |
| privacy? | | | | - What is around the general area of the home? |
| Services provided to residents | | | | - Is it easy for family members and visitors to find? |
| - What is the system for distribution of medication? | | | | - How far is it for close friends and family? |
| - Is there a registered Nurse that comes on a regular | | | | - How far away is the resident's doctor and clinic? |
| basis? | | | | - Is there a hospital nearby? |
| - Does the home provide bed linens and towels? | | | | - What are the visiting hours? |
| - Does the facility provide laundry service? | | | | Reputation & Vibe |
| Resident & Family Participation | | | | - Are you able to talk to other resident's families and |
| - Are residents and their families involved in medical | | | | other references? |
| assessments, roommate approvals, and care planning | | | | - How was the staff in showing you around and |
| sessions? | | | | answering your questions? |
| - What is the complaint process? | | | | - Are you able to envision you or your loved one |
| - Can residents select their favorite foods? | | | | living in this home? |
| - Is there a Ombudsman Program poster and | | | | - What was your overall gut feeling about the home? |
| telephone number posted in the home? | | | | Money |
| Fun Trips and Social Interaction | | | | - What is included for the base monthly fee? |
| - Do residents have fun and meaningful activities and | | | | - Do they accept Supplemental Security Income (SSI) |
| events to take part in? | | | | residents? |
| - Is there a activities director (mostly with larger | | | | - How do their prices compare to the competition? |
| facilities)? | | | | - Are there any hidden, or fees that need to be paid |
| - Are there trips outside of the assisted living home? | | | | up front? |
| - Are there any religious or spiritual activities? | | | | - Refund policy? |
| Breakfast, Lunch, and Dinner | | | | |