Choosing a Facility or Home Care Agency Questions
About Care and Safety
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What is the staff-to-resident ratio during the day? Overnight?
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Are caregivers trained to manage dementia, memory care, or mobility challenges?
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How are fall risks assessed and addressed?
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What’s your emergency response protocol?
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How are medications managed? (In-house pharmacy? RN oversight?)
Daily Living and Activities
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What daily activities, therapies, and social programs do you offer?
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Are specialized diets (diabetic, cardiac, pureed) available?
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What is your policy for family visits and outings?
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Are there private rooms or shared rooms?
Costs and Contracts
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What is included in the monthly fee?
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What services cost extra (med management, assistance with bathing, etc.)?
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Is there a deposit or entrance fee?
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What happens if the resident needs a higher level of care?
Licensing and Reviews
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Is the facility licensed and accredited?
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Have you had any recent state inspections or violations?
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Can you provide references from current or past families?
Final Checklist
Trust your gut — does the facility/agency feel welcoming, organized, and safe?
✅ Ask for a written care plan or service agreement before signing.
✅ Clarify costs and services IN WRITING — no assumptions.
✅ Visit more than once if possible — weekday and weekend visits.
✅ Always ask for recent references!
Caregiver Agency and Private Care
Giver Questions
Caregivers
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Are your caregivers employees or independent contractors?
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How are caregivers screened (background checks, certifications)?
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What training do caregivers receive initially and ongoing?
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Do you provide the same caregiver consistently, or will it rotate?
Care and Oversight
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How is care supervised? (RN oversight? Care manager check-ins?)
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Can you customize care plans to specific needs (mobility, wound care, dementia)?
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How do you handle scheduling changes or emergencies?
Costs and Billing
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What are your hourly rates? Are there minimum hours per visit?
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How does billing work? Weekly, bi-weekly, monthly?
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Do you accept insurance or only private pay?
Liability and Backup
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Are caregivers bonded and insured?
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What happens if a caregiver calls out? How quickly is backup provided?