Nursing Home Compare is a web-based service provided by the Centers for
Medicare and Medicaid to help consumers compare different nursing homes. The
information is based on findings by surveyors during the annual inspection
performed in every nursing home that participates in the Medicare program. The
information can be obtained at the CMS Nursing Home Compare website. When you
access this information, however, keep in mind that it sometimes is more than a
year old. Also, facilities with excellent track records sometimes experience a
problem on survey which may be written up in a manner that makes it appear
widespread. Likewise, a facility with only an average reputation may be able to
get through survey without any major findings and appear better than it
deserves. The information is helpful, but needs to be validated with a site
visit. When you visit a facility, follow these ten steps to getting the
information you need.
1. Insist on touring the nursing unit where your loved one would likely be
placed--don't just tour the lobby and dining room.
2. Speak to the nurse in charge on the unit and ask how the unit is staffed
on all three shifts.
3. Observe residents, especially for how they are dressed and groomed, and
whether or not there are any odors.
4. Try to meet a family member and ask them how well the facility responds
when there is a problem.
5. Watch the residents as they are assisted with lunch or dinner--does there
appear to be enough help?
6. Check if the facility allows 24 hour unannounced visiting by
families--always a good sign that they have nothing to hide.
7. Ask what rehabilitation services are available for long term residents,
and not just for the short term rehabilitation patients.
8. Look into what pastoral care services are available and whether the faith
tradition of your family member is represented.
9. Interview the medical director and ask whether intravenous fluids,
antibiotics, etc. are available to avoid unnecessary hospitalizations for brief
illnesses.
10. Trust your instincts--would you feel comfortable living in the facility
yourself? If not, you probably will not be satisfied with your decision to place
your loved one in the facility.
For more information on nursing homes and how to choose the best one for your
loved one, visit www.nursinghomeadvice.info
© Copyright, 2006 All rights reserved, Joseph J. Tomaino, The Tomaino Group,
834 Heritage Court, Yorktown Heights, NY 10598 www.continuingcareinsite.info
Email: jtomaino@continuingcareinsite.info.