As your parents or loved ones age, deciding on the right living arrangement can be a challenging task. Assisted living is a common option for those who need help with daily activities, such as cooking and bathing, but who don’t require extensive medical care. Knowing when it’s time to consider assisted living can be difficult, but recognizing key signs can guide you in making the right decision.
Here’s a guide to help you assess whether it’s time for your loved one to move to an assisted living facility.
When to Consider Assisted Living
Moving a loved one into assisted living is a significant decision, often marked by uncertainty. According to Robert Lowry, Vice President and Administrator at Sunny Hills Assisted Living Facility, “There are clear signals that a loved one’s quality of life would be significantly improved, but often those closest need to take a step back to really see them. Typically, day-to-day can become a challenge. For those needing more hands-on medical assistance, an assisted living facility gives peace of mind.”
Although there may not be a single clear sign, several indicators can suggest that a change in living arrangements might be necessary:
- Recent Falls: Frequent falls can indicate a risk of further injury and suggest a need for more assistance. If a person falls and cannot get help promptly, it may be time to consider assisted living. If they are not ready for such a move, a medical alert system might be a temporary solution.
- Chronic or Worsening Health Problems: Persistent health issues or slower recovery times can signal that a loved one might benefit from more comprehensive care available in an assisted living facility. Discuss their condition with their doctor to determine if full-time care could improve their health.
- Difficulty Managing Medications: Struggling to manage medications—whether due to forgetfulness or financial concerns—can be a sign that professional assistance is needed. Assisted living staff can help ensure medication adherence.
- Problems Completing Activities of Daily Living (ADLs): If your loved one is unable to handle daily tasks like cooking or cleaning, assisted living could provide the support they need while allowing them to focus on social activities and personal interests.
- Poor Eating Habits: Significant changes in weight or reliance on takeout and frozen meals may indicate problems with food preparation or serious medical issues. Discuss these changes with your loved one and their doctor.
- Hygiene Problems: Neglect of personal hygiene can be a sign of difficulties with self-care, increasing the risk of infections and mental decline. Address these issues and consider whether assisted living might provide the necessary support.
- New or Worsening Mobility Issues: Difficulty with walking or climbing stairs may suggest the need for home modifications or a move to a facility that ensures safety and accessibility.
- Decreased Driving Competency: If your loved one is no longer able to drive safely, consider whether public transportation or an assisted living facility with transportation services could be beneficial.
- Inability to Manage Home or Yard Upkeep: Struggling with home maintenance or yard work can be a sign that assisted living might alleviate stress and provide a more manageable living environment.
- Pets Seem Neglected: Difficulty caring for pets might indicate mobility or cognitive issues. Some assisted living facilities allow pets, so finding a facility that accommodates animals might be important if pets are a significant part of your loved one’s life.
- Getting Lost or Disoriented: Wandering or confusion outside the home can be signs of dementia. If this occurs, consult with their doctor and consider assisted living facilities with memory care units.
- Changes in Mood or Aggressive Behavior: Mood swings or aggression could indicate cognitive decline or dementia. Facilities with specialized memory care units might be appropriate.
- They Seem Unhappy: Even if they can manage on their own, unhappiness might suggest a need for a change in their living situation. Discussing their feelings and exploring new living arrangements could improve their quality of life.
- Isolation: Withdrawal from social activities and spending excessive time at home can indicate underlying issues. A change in living environment could provide more social engagement and support.
- Lack of a Supportive Community: Regular visits and social interactions are crucial. If your loved one lacks a supportive community, an assisted living facility can offer 24/7 supervision and a built-in social network.
- Concerns from Friends or Neighbors: If others express concerns about your loved one’s well-being, take their observations seriously and consider whether assisted living might be appropriate.
- Caregiver Burnout: If you or another caregiver are struggling with burnout, it may be time to explore assisted living options. Professional care can provide relief and ensure your loved one receives the necessary attention.
Next Steps for Finding Senior Assisted Living
Deciding to move a loved one to assisted living is a significant step. Starting the process early is crucial, as many top facilities have long waitlists. Begin by identifying the type of care and activities needed and consider the facility’s location to ensure it’s convenient for family visits.
Robert Lowry advises, “The first step is to decide what type of care and activities you’re looking for, as well as ideal locations. Immediate care is one thing, but you’ve got to consider potential needs in the medium to long term. Location is important. If it’s a long journey for loved ones to reach the facility, it will mean fewer visits. This can be upsetting for all concerned.”
Once you’ve outlined your needs, start researching facilities that match your criteria. Schedule tours and ask the following questions:
- What sizes and types of units are available?
- Are the rooms private or semi-private?
- Does each unit have its own bathroom and kitchen?
- What levels of care are offered?
- Are memory care units available if needed?
- Is transportation provided for doctor appointments and social events?
- What are the staffing ratios?
- What are the facility’s policies and fees?
- What amenities are available, such as salons, dining halls, or activity rooms?
- What activities are offered to residents?
Bottom Line: Is It Time for Assisted Living?
Acknowledging that a loved one needs full-time care can be difficult. If you’re concerned about their safety, health, or happiness, discuss their housing options with them and involve their doctor and a financial advisor to explore all available choices. If your loved one resides with you and requires full-time help, consider respite care facilities or home health services to provide yourself with a break.
For further assistance, consult your local Agency on Aging or your state’s Department of Human Services for senior living resources. You can also review our assisted living guide and use elder care locators to explore facilities in your area. Assisted living offers numerous benefits and can greatly improve your loved one’s quality of life.
