My uncle is living at an assisted living facility; can anyone help me understand how these facilities should be run?

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I am concerned for him.

Answers 1 to 2 of 2
My mother-in-law also lives in asst living place. My best advise would be to talk to the administrator of your uncles place and find out for yourself what and how they do for their residents. Have a list ready when you visit and ask questions. My m-i-l lives in a smaller place that has lots of hands on help if she needs it, but we visited many places before deciding on this one, that were huge facilities. That's why you have to ask questions and see for yourself how they work. It would seem to me the bigger the place the less they would know a person by name, but then they would probably have more amenities than hers. See for yourself.
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Ditto the advice of "naheaton", above. If you're not familiar with assisted living facilities, you might start by contacting your local city, county or state senior/elder services department for more information. My best advice for you is to stay as involved as possible in his care. Visit often, and ask your uncle how he's doing. Observe how the staff interacts with your uncle and other residents. Sometimes the fanciest places don't have the best care. Get to the know the staff: the Administrator, the Nurse, the Care Coordinator, the Activities Director and as many of the caregivers as possible. Some of these facilities are definitely better than others, but most studies have shown that the more involved the family is, the better the care. Speak up when you notice something isn't right, but do it with kindness and patience. By the same token, make sure and speak up when you notice extra care is being taken with your family member. Most of the people who work in these facilities are underpaid and overworked. The state where I live, Oregon, has a website under their Seniors and People with Disabilities website with a "Substantiated Facility Complaint" section where you can research how many substantiated complaints a facility has by year. But even then, my best advice is to pay attention to your uncle, observe the staff at the facility, and use your instinct to tell you how things are going. Good luck.

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