Choosing a long-term care facility for yourself or a loved one is never easy. The options can be overwhelming and a poor choice can affect care and peace of mind. Here are three common mistakes families make and how to avoid them in Washington.
Mistake 1: Overlooking state inspections and quality ratings
Washington’s Department of Social and Health Services inspects all nursing homes and assisted living facilities. Many nursing homes also follow federal CMS standards. These inspections show whether a facility meets safety and care requirements. If you skip reviewing these reports, you may miss red flags that could affect care.
You may need to read inspection reports and check complaints. Washington provides information through DSHS, CMS Care Compare and ombuds resources. Since some complaints can be redacted, you may need multi-source verification to compare facilities and ensure a better choice.
Mistake 2: Ignoring the fine print in contracts and policies
Contracts for long-term care vary widely. Failing to review them can lead to unexpected fees or restrictions. Before signing, look at the most important terms, including:
- Admission requirements and waiting lists
- Monthly costs and potential extra fees
- Discharge/transfer terms and the notice and appeal rights required by law
- Rules for visitors and family involvement
Washington law requires facilities to provide disclosures, but rules differ for nursing homes and assisted living. Federal Medicare and Medicaid rules apply to nursing homes, including a prohibition on requiring a third-party guarantee of payment.
Even with these protections, you may still need to understand the full agreement to avoid surprises.
Mistake 3: Skipping a personal visit and family discussions
A personal visit is your most important investigative tool. Seeing staff and the environment gives insight into daily care. Crucially, include the future resident and your family in the process. Ask about staffing, emergencies and care plans.
Washington law and, for many nursing home residents, federal Nursing Home Reform Act and CMS rules protect residents’ rights. Your observations and family input are equally important in choosing a facility that meets your needs.
Protecting your family starts with informed choices
Choosing a long-term care facility is never easy. However, careful research, contract review and personal visits make a difference. Start early, involve family and use state resources. Legal guidance may also help you review issues and understand your options to protect your rights.
