Before You Visit
Confirm basics on the phone: current openings, monthly rate range, whether they accept Medicaid or long-term care insurance, and any deal-breakers (pets, smoking, visiting hours). Ask them to email the resident agreement ahead of time so you can read it calmly.
Bring a notebook or use your phone's notes app. Homes start to blur together without written impressions.
Questions About Staffing
“How many caregivers are on duty per shift?” “Is overnight staff awake or asleep?” “What is your staff turnover rate?” “Who covers if someone calls out?” “What training do caregivers receive beyond state minimums?” Their answers reveal whether the home runs lean or invests in people.
Watch how staff interact while you ask. Body language tells the truth faster than words.
Questions About Safety and Emergencies
“How do you prevent falls?” “What happens if my parent leaves the house at night?” “Do you have backup power for outages?” “How far is the nearest hospital?” “Walk me through an emergency you've handled recently.”
Ask to see their emergency binder or disaster plan. Washington requires every AFH to maintain one.
Questions About Daily Life
“What time do residents wake up, eat, and go to bed?” “Can meals be customized?” “How do you incorporate residents' hobbies?” “Can my parent keep their own schedule?” “What does a typical Tuesday look like here?”
You're looking for flexibility and personal touches, not rigid institutional routines.
Questions About Medical Care
“Who handles medication administration?” “Do you coordinate with visiting nurses or hospice?” “How do you communicate with families about changes?” “Can my parent keep their current doctor?” “What happens if their care needs increase?”
Document their answers so you can compare homes apples-to-apples later.
Questions About Cost and Contracts
“What is included in the monthly rate?” “What triggers a rate increase?” “Do you charge different care levels?” “What is your deposit and refund policy?” “Do you allow Medicaid conversion, and if so, when?”
Ask for a blank copy of the admissions agreement before you leave. Never sign on the spot.
Questions About Cultural Fit
“Do you celebrate specific holidays?” “Are there residents who speak my parent’s language?” “Can we bring familiar food or religious items?” “How do you support LGBTQ+ residents?” Match their answers to your family's values.
Frequently Asked Questions
Q: How long should a tour last? A: Plan for 45–60 minutes. Longer if you're touring with your parent.
Q: Should I take photos? A: Ask first. Most homes are fine with discreet photos to share with family.
Q: Can I talk to current residents? A: Many providers will introduce you if residents consent. Observing interactions is invaluable.
Q: What if the provider rushes me? A: That's a red flag. A good home wants you to feel confident and will take the time.