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Making the Decision

Visiting a Care Facility? Here's What to Watch For

You've shortlisted a few facilities. Now comes the part that matters most — walking through the door. Here's what experienced families say they wish they'd known.

Questions to Ask the Staff

  1. What's the staff-to-resident ratio during the day? At night?
  2. How do you handle residents who wander or become agitated?
  3. Can I see the dining area during a meal? The meal test is the best single indicator of care quality — watch for resident engagement, food quality, and staff interaction.
  4. What's included in the monthly rate — and what costs extra? Common surprises: laundry, hair care, specialty supplies, private room upgrades.
  5. How do you communicate with families? Is there a portal or regular updates?
  6. Can I speak with a current resident's family member?
  7. What happens if my loved one's care needs increase — do they have to move?
  8. How do you handle medication management and errors?
  9. What activities are available, and how often do residents actually participate?
  10. What's your complaints process?

Questions to Ask Yourself

  1. Did the facility smell clean when I walked in? Persistent odours are a red flag — not a one-time incident.
  2. Were residents engaged in activities, or sitting alone in hallways?
  3. Did staff greet me by name and introduce themselves?
  4. Could staff answer my questions confidently, or did they deflect?
  5. Would I want to spend a Sunday afternoon here?
  6. Did I feel rushed during the tour?

Red Flags — Walk Away If You See These

  • Strong, persistent odours (not just near a bathroom — throughout)
  • Residents in soiled clothing with no staff nearby
  • Locked doors without clear explanation (beyond secure dementia units)
  • Staff who can't tell you the staff-to-resident ratio
  • No visible activity schedule or empty activity rooms
  • “We don't allow unannounced visits” (you should be able to visit anytime)
  • Evasive answers about complaints or inspection results

Good Signs — What Quality Looks Like

  • Residents chatting with each other and with staff
  • Staff who know residents by name
  • A clean, odour-free environment with natural light
  • An activity schedule that actually matches what's happening
  • A willingness to show you any part of the facility
  • Clear, direct answers about costs, staffing, and complaints
  • Families visiting during your tour (indicates an open-door culture)

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