Tips in Selecting a Nursing Home

Go to the  state of TN health department site and use the nursing home compare tool.  This site is located at: Tennessee Compare Site

State and federal agencies routinely survey, inspect, and rate nursing homes on the care they provide. Medicare compiles these findings into a nursing home comparison, which you may find helpful in selecting a home for your family member. This Medicare report details the number of inspection deficiencies for each nursing home during the most recent inspection, as well as the type and severity of each problem. Pay attention to the number of violations each nursing home commits, but be sure to notice the nature of any problem - as you know, some are far more serious than others.

ALSO CONSIDER THE FOLLOWING FACTORS:
  • Location -- Consider the home's location. It is not always possible, but it is preferable that the home be convenient for friends, relatives, and your doctor, as well as appealing to you. The home should be reasonably close to a hospital in case of a medical emergency.
  • Facility Size -- A large home may have more activities while a smaller home might be more personal. Decide which is best for your needs. You should also consider the quality--not just the quantity--of the services and activities offered.
  • Visiting Hours -- Find out whether the visiting hours are convenient. Often the best arrangement is one that allows visitors to come anytime.
  • Financing -- It is very important to check with the facility regarding what services Medicaid  or Medicare covers. Make sure you find out what extra costs are involved in addition to the basic daily room rate. Often extra charges are made for professional services beyond basic nursing care (also for things such as television and toiletries). Some homes only provide the bare minimum in the way of services.
  • Room Selection -- Find out whether attention is paid to roommate and room selection--two factors that can be very important to your happiness. You do not need to feel committed to your first roommate. If you are dissatisfied, see if you can change. Also, see if you can bring some of your own furniture.
  • Bedhold -- Ask if they reserve a bed if you need to be transferred to a hospital. Medicaid will pay for 7 days of bedhold. Medicare and private-pay residents will have to pay for each day the bed is held but not more than the regular daily rate. Sometimes if hospital stay is extended you can make an agreement with the nursing home.
  • Valuables -- Find out how valuables are protected. Theft is sometimes a problem in nursing homes. If at all possible, you should leave valuable items with friends or relatives.
  • Grievance Procedure -- Ask whether patients have some sort of grievance procedure. Find out if there is a patient's council and a way that patients can be involved in decision making.
  • Volunteers -- Find out if community volunteers are used at the home. Active community involvement by individuals and groups of volunteers can greatly extend the amount of patient services available and help reduce the isolation and loneliness that many nursing home patients feel.
  • Morale -- See how the patients' morale appears to be. Do they have privacy and respect? Do they have access to things like television and radio? Be sure you take into consideration what you are comfortable with when making your selection.
  • Food -- Check the food being served. Make a visit at the time of the midday meal which is often the main meal. Ask the other patients about the quality of the food. Is the dining room atmosphere attractive, pleasant, and clean the cold food cold? Is some food available at times other than mealtimes? Do they supply food for special diets?
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