I need advice with issues I've encountered since having my aunt in a memory care unit.

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I recently placed 95 year old aunt in a memory care unity in an assisted living facility....we are in Michigan and she currently pays $1695 for a studio apt in a secured wing and also pays $2100 for her care...we stil have to provide diapers, medications and toiletries etc.......here is the problem....she seems to get decent care but her apt does not get cleaned properly (dirty bed linens) soiled clothes and bathroom that doesn't get cleaned.... yesterday I was there early enough to have staff go up and see the condition of her apt....they helped me change her linens and said they couldn't understand why the cleaning staff didn't do a better job and that was it!! I showed her how her bed has not been vacuumed under since she moved it....also, there is another resident that is aggressive...other residents are allowed to enter and leave each others apts and one day this other resident came into my aunts apt while we were there and got upset with my aunt when she was asked to leave and this woman spit on my aunt!! I have also witnessed this other resident being aggressive and combative with the staff on a few occasions.....any advice? I don't want to move her again...she has only been in this facility for 4 months...

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The very first thing I would do is meet with the administrator and give them a chance to address your concerns. Put your concerns in writing and be very specific about dates and condition of the apartment. Same with people wandering in to your apartment; dates, times etc. If you meet with the administrator and are not happy with their response then I would contact your local ombudsman. To find this person google: ombudsman and your county name. I'm not sure that all counties have ombudsman assigned to assisted living buildings but ours does. Good luck...
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Be a squeaky wheel!! But a nice one. I usually go the route of ( with my girl) -love you guys, love all you do , you are sooo awesome!!! ---can you please make sure that such and such gets met. Thank you soooooo much. And send them some flowers when it gets done. "To a wonderful staff for taking such good care of our very special Aunt Name . We love her so much and it warms our heart knowing she is in good hands" Make friends with the janitorial staff as well. Always say "hi" to them and ask how their day is. The janitorial staff usually gets overlooked and they do a lot!!! And they know a lot. And they can get things done for your aunt-light bulbs, leaky sinks, messy floors.... If you get to know the staff -everyone on a first name basis it helps create an atmosphere of trust, IMO.
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This is the difficult part when in memory care unit where dementia is concerned. My mom is in AL but participates in memory care during the day. I don't know what the housekeeping is in memory care but with mom in AL, I do all her laundry because it costs another $300 a month for them to do it. Check your contract with them and if they are doing her housekeeping and laundry, I would talk with them about it. As far as the aggressive resident, that is hard because it is so common with dementia but you could bring it up to them. The caregivers are targets for this kind of behavior...not an easy job, but if there is a concern for your mothers safety talk with them.
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I only have experience with asst living, not the memory care thing. But my mother-in-law has a regular housekeeping day once a week, or if there should be any problems. And she has a lock on her door, but I'm not sure how that works in the memory care part though. Does your aunt have a lock on her door? Is there one day a week for housekeeping? Can you get her moved to a different part where she is surrounded with less demented people, provided she herself isn't that far into Alz. that is.
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