Do you know, I have been visiting ALFs on my mother's behalf for a few years now, and it was only last week that I found out about all the add-ons they charge! They must deliberately withhold that information to avoid scaring you off at the beginning of the discussion. I was shocked at the amount of the fees at this particular facility --- $66 to take a resident to her doctor, $552 a month to manage medications, $266 a month to escort them to and from room and common areas, etc. Wow! Are these fairly standard prices? This was a nice facility but not luxurious. Another one in the same area didn't give me a price sheet, but said the average resident paid $500 over and above the basic fee. (In both facilities the room, board and activities fee was about $4,000. Both had a one-time "set-up" fee of $2,500.) What is your parent paying?