o What is their patient to staff ratio?
o Are they hiring right now and how many people are needed?
o What training has their staff had and what on-going education do they get?
o How many RN’s are on staff?
o Is there a doctor on staff or how far away?
o How many hours of direct care is done?
o Who is the temporary staffing agency used in an emergency?
o Have criminal checks been run on all employees?
o Are there any residents with communicable diseases?
o Is transportation available to get a paralyzed loved one to the doctor?
o What is covered and what are considered extra charges?
o Do they offer support groups for the family?
o What are their state inspection results? Ask to see them.
o Are their any liens, complaints of abuse, or citations against the facility?

* Observe how the staff treats the residents and how they talk to them–with respect or not, or like they are children. Notice if the residents are cleanly dressed, hair combed.

* Visit the kitchen, observe cleanliness, eat a meal or two, evaluate the monthly menu for variety and nutrition, what/when snacks available, can family bring food in.

* Talk with the Activity Director to evaluate what is offered: Exercise, singing, cooking, dancing, bingo, games, crafts, movies, current events, parties, field trips, etc.

* Drop in unannounced often and at odd hours, and even during the middle of the night to observe the level of care and attentiveness.

You can learn more about Jacqueline and find information about her book at ElderRage.com.