A few weeks ago I wrote about a New York Times article by Katie Thomas, which addressed the problems with the Medicare 5-star rating system for nursing homes. Because I subscribe to the NYT, I am able to follow the reader’s comments on this article, and I have. One "Letter to the Editor" of the NYT is, quite frankly, provides critical information for anyone looking for a nursing home or assisted living facility.

In his letter, Mr. Steven Raichilson, Executive Director fo the Menorah Park Center for Senior Living, located in Beachwood, Ohio, "nails" the factors anyone visiting a nursing home must see to decide if it is an appropriate place for a loved one. In short, you have to use your "eyes, ears and nose."    Some examples Mr. Raichilson gives are spot-on: 

  • How does the facility smell? Is it free of urine odors?
  • How do the residents look? Are men shaved, is women’s hair brushed, are nails clean and residents dressed appropriately in regular clothes instead of pajamas?
  • How do the meals look? Are there wholesome portions, variety and thoughtful presentation?
  • What is the background noise in the nursing home? Is it TVs blaring and staff speaking loudly to residents, or are there meaningful activities going on with quiet, respectful and professional interaction between residents and staff?

When you’re looking for a nursing home or assisted living facility placement, you cannot simply rely of literature and ratings systems. You MUST go to the facility, preferably several times at different times of the day, to help you decide.        Choosing the right nursing home for you or a loved one is one of the most solemn things anyone can do. The place must not only provide the appropriate care, but must be as much like home as possible. Use ratings systems with a critical eye…but also visit the place. Use your senses…ithe time you take will certainly pay off in the end.