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Bluetus

(1,052 posts)
13. Not just the ratios, but the certification levels
Tue Apr 15, 2025, 10:22 PM
Apr 15

Check with your state for the minimum requirements. You will probably find they are minimal, and far from adequate. The state minima are often set based on what can practically be provided under Medicaid billings, and that's not much.

You will probably find that AL facilities are allowed to operate with a single CNA (not even an RN) for a large number of rooms. A CNA needs a HS diploma plus a couple of months of CNA training. That's it. In comparison, an RN needs a 2-year or 4-year degree.

So definitely ask what level they staff to, and if they have any published corporate policy for staffing above the state minima.

And I would advise against a CCRC or life plan arrangement that requires an initial buy-in. Even if the buy-in is fully or partially refundable, these places change ownership so often, you could find yourself having a big legal battle to get your money back at the end. Even if there are apparent savings, I'd say stay away from that. Nowadays, most places no longer require that kind of arrangement. And also bear in mind that just because a place claims to have a range of levels (independent, assisted, memory care, and skilled nursing), that doesn't mean they are all of the same quality. A place that provides a decent IL situation may be no good at all for memory care or skilled nursing, depending on what the resident's needs become. That's another reason not to lock into a life contract.

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How often they check on patients especially if people are moving around indoors and outdoors FirstLight Apr 15 #1
That is horrible! CTyankee Apr 15 #2
The place I went to was independent living, so you can come and go without anybody noticing. kerry-is-my-prez Apr 15 #7
The thing was is it looked all nice and cute but it wasn't FirstLight Apr 16 #14
A couple of thoughts from my experience Raven123 Apr 15 #3
No dementia with me or hubby, thank god. CTyankee Apr 15 #4
Maybe it dependson the facity... electric_blue68 Apr 16 #21
You have to go to a nursing home or locked facility for that. kerry-is-my-prez Apr 15 #8
Not in all cases. Raven123 Apr 15 #9
I'd ask about care giver to client ratio, their ability to offer healthy or special meals for specific health conditions MLAA Apr 15 #5
Not just the ratios, but the certification levels Bluetus Apr 15 #13
I looked into a few. I went through a service "a Place for Mom." kerry-is-my-prez Apr 15 #6
Do they have nurses and can the nurses or the techs applegrove Apr 15 #10
I have no advice but wish you good luck with this, CTyankee. Keep us posted on how it goes. Scrivener7 Apr 15 #11
The for-profit ones have the least amount of interest in your care and the Wonder Why Apr 15 #12
Everything mentioned here is good. Figarosmom Apr 16 #15
Hmmm, first Good Luck!.... electric_blue68 Apr 16 #16
All that sounds fine to me. One question: are you there with your partner or alone? CTyankee Apr 16 #17
I'm there on my own. But I get what you mean.... electric_blue68 Apr 16 #20
My fil stayed at a home that took care of elderly people as long as they were ambulatory, cksmithy Apr 16 #18
Does the staff know the residents' names? Torchlight Apr 16 #19
Adding...we can mostly come and go as we please but they generally want people back in by 11Pish latest. electric_blue68 Apr 16 #22
I had to find assisted living for my dad mnhtnbb Apr 17 #23
Thanks for the info and great questions! CTyankee Apr 17 #24
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