Resources

Family guide

Questions to ask when touring any assisted living home

Take this to every tour, not just ours. A home that is comfortable with these questions is telling you something — and so is one that is not. Nothing here is specific to Virginia Legacy.

Licensing and record

  • Ask to see the current licence, and note what level of care it covers.
  • Ask for the most recent state inspection report and what was found.
  • Ask whether there have been any substantiated complaints, and what changed afterwards.
  • Ask who the licensing authority is and write down the number yourself.

Staffing

  • Ask exactly how many direct-care staff are on each shift, not a ratio.
  • Ask who is awake overnight, and what happens if two residents need help at once.
  • Ask what the staff turnover has been over the last year.
  • Ask how a shift is covered when someone calls in sick.
  • Ask what training staff complete before they work unsupervised, and how many hours a year after that.

Medication

  • Ask who is permitted to administer medication, and what qualification they hold.
  • Ask where medication is stored and how controlled drugs are secured.
  • Ask to see a blank Medication Administration Record.
  • Ask what happens when a dose is missed or given in error, and who is told.

Daily life

  • Ask what a typical day looks like — then ask a caregiver the same question separately and compare.
  • Ask to see this month's activity calendar, not a sample one.
  • Ask what happens if your parent does not want to join in.
  • Ask how a resident who wakes at five in the morning is accommodated.
  • Ask to see the current week's menu and how a therapeutic diet is handled.

If things change

  • Ask which conditions or behaviours would mean they could no longer care for your parent.
  • Ask how much notice you would get, and who helps you find somewhere else.
  • Ask how the family is told about a change in condition, and how quickly.
  • Ask whether an outside hospice or home-health agency may come in.

Money

  • Ask for the full written fee disclosure before you discuss anything else.
  • Ask what is billed separately, and for the published rates.
  • Ask how much notice you get before a rate rise, and what drove the last one.
  • Ask what a higher level of care would add each month.

What no one can tell you

  • Smell the air, in the afternoon rather than the morning.
  • Listen to the noise level, and to how staff speak to residents when they think you are not watching.
  • Look at the residents who are not being shown to you.
  • Ask yourself whether you would be comfortable eating a meal there.

General guidance, not clinical advice. Every home differs, and an assessment by a qualified clinician is the only thing that settles whether a setting is appropriate.

Questions this guide did not answer?

Ask us directly. We answer honestly, including when the answer is that we are not the right home.

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