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Choosing a Nursing Home: 12-Question Checklist

Touring a facility soon? Print this checklist and bring it with you. These are the questions that actually reveal quality of care.

May 8, 2026

Before you visit

  1. Is the facility Medicare and Medicaid certified? Both certifications mean the facility meets federal quality standards.
  2. What is the most recent CMS star rating? Look it up at medicare.gov/care-compare.

During the tour

  1. Walk in unannounced if you can. Does it smell clean? Are residents up and engaged?
  2. What is the nurse-to-resident ratio on each shift?
  3. How long has the Director of Nursing been here? High turnover at the top is a red flag.
  4. Can I see a typical resident room? Not just the model.
  5. What does a sample weekly menu look like? Ask to see the actual menu, not a description.
  6. What activities happen on weekends and evenings?

About care

  1. How are care plans updated, and is family included?
  2. What is your protocol when a resident has a sudden change in condition?
  3. How do you handle pain management for residents who cannot communicate?

About cost

  1. What is the all-in daily rate, and what is NOT included? (Common extras: hair salon, cable TV, personal laundry, certain therapies.)

Trust your gut

If the staff smile at residents by name, if residents look well-groomed, and if you feel welcomed instead of rushed — that tells you more than any brochure ever will.

When you are ready, schedule a tour and bring this list.

Have questions about your situation?

Our admissions team is happy to talk it through — no pressure.