Health Care Residences: Choose Wisely

Choosing a residential health care facility for a family member is a task that requires in-depth investigation before a final placement is made, a health services expert says.

Fay Silverman, spokeswoman for Beth Abraham Health Services in New York City, says a personal visit to such a residence is every bit as important as asking the right questions to ensure proper care and comfort will be provided.

Key questions include:

--Is the facility clean, well-lit and free of strong antiseptic or other odors? What is the staff-to-patient ratio? (including nurses and aides). In a 40-bed unit, there should be a minimum of one staff member for every eight patients.

--Does the facility supplement staff levels with volunteers from the community? Do employees and volunteers treat residents with respect?

--Does the facility have an outdoor social/recreational area for residents' use? What sort of activities does it provide?

--How often are residents taken to off-site activities, such as cultural/sports events, museums, fairs, etc.?

--Does the facility have a medical director on staff around the clock, or just ``on call''? Does the facility offer rehabilitation on site with staff therapists, or does it use outside consultants? With what hospital(s) is the facility affiliated?

--Does the resident have a choice as to daily bathing time, (for example, morning or evening)? What about wake-up and bed time? In rooms that are shared, are there curtains or screens to provide a measure of privacy? Are meals appetizing, nutritious and tasty -- and does the staff assist patients who cannot feed themselves? Make sure you sample one of the meals normally provided to residents. Beth Abraham Health Services is a network of long-term and subacute health service facilities and community-based programs in New York.
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