We're looking at an ALF for my 91 year old mother and have been told that the ratio of caregiver to resident is 1 to 25 (1 to 18 if you count the medical director on duty). The manager explained quickly that 33 of the residents need almost no help (beyond a reminder to take meds, etc.), another 11 need moderate levels of care, and only 10 need significant assistance (i.e., dressing, grooming, meds, reminder to eat, etc.). My Mother would be in that group, but I'm scared that she will get lost among the 50+ residents with so few caregivers. What do you think?