ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Assisted Living Information

Updated on December 4, 2019

Smaller Space

Click thumbnail to view full-size
Double occupancyWe used Mom's recliner to make it feel like home.
Double occupancy
Double occupancy
We used Mom's recliner to make it feel like home.
We used Mom's recliner to make it feel like home.

The Current Facility

You may not be aware that there are many homes in local middle-class neighborhoods that have been converted to assisted living homes for the elderly. They vary in size, housing between four to thirteen persons. Not all patients are elderly. Some have special needs and require special care. All services necessary for daily living are provided for a monthly fee. Medical personnel are often contracted to visit with the patient or take care of special medical needs. State requirements are monitored and must be met. These requirements include the condition of the facility and the daily care provided to the patient. If the requirements are not met, the license for business can be revoked.

This facility is located in the middle of a quiet residential neighborhood. The owner bought it and modified it for an assisted living facility. This site has a large dining area, a living room and kitchen/ breakfast/nurse station as well as eight bedrooms with two and a half baths. Both full baths have showers. Three of the bedrooms are single occupancy. Two of the rooms currently house residents in hospital beds. An additional resident rents a double occupancy room as a single room, paying $6,000 a month!

The lawn is green and well kept with flowers and ivy surrounding a large front porch. The backyard has a covered patio which is used for outside events In nice weather.

All meals are served in the dining room. The meals vary from week to week. Six or seven residents are able to come to the dining room. A few residents are bedridden and don't join the group for meals.

Medications are monitored appropriately. This is the first facility that has faithfully monitored Mom's blood pressure. When it ran high, they contacted the director and the doctor as needed. I also received a call and text message. After expressing my desire several times to be notified when there are problems, this director has followed through.

Care of the Facility

In this facility, the staff regularly clean the bathrooms and sweep the floors. They dust the bedrooms occasionally. All laundry has been marked with Mom's name and is normally returned to her without a problem. The routine for laundry is that all dirty clothes are washed that same day. Wet clothes are removed to be washed immediately. This process eliminates many of the odors often encountered In an eldercare facility. Once in awhile we find clothes that don't belong to Mom that are left in a drawer or hung in her closet. If I take it to the laundry area, staff will relocate that item to the correct owner.

One Saturday, I walked into Mom's room to find her recently cleaned clothes thrown across her chair, her night clothes were "wadded up" in her dresser drawer and inside out, and her closet looked like a tornado had blown through it. I complained to the staff person while putting things back into order. Thank goodness I have not seen that situation again!

Patient Care

State requirements regulate the number of residents per staff. There are basic requirements for bathing, meals, bath rooming, etc. If I were going to change eldercare standards in this country, I would advocate for state regulations to be modified. The basic issue in daily care is that there are too many residents for one staff person. Staff cannot possibly meet the overall personal needs of residents, dispense medications, cook a decent meal, sweep the floors and maintain clean bathrooms well under current ratios.

The residents are dressed for the day. Their job of "waiting" begins. Many of the elderly in assisted living facilities no longer walk, but instead are confined to wheelchairs or to their bed. They wait to be moved to the dining room and they wait for the meal or snack to be served. After the meal or snack, they wait for a bathroom trip and a trip back to their comfortable recliner and the television. In the evenings, an additional staff person is sometimes scheduled for a few hours to bathe the residents and feed those who are bedridden. With this assistance, the process of moving individuals from the dinner table becomes more efficient. Additional staff is also present in the mornings to get the residents up for the day and dressed, fed and meds dispensed.

Weekends become less organized because only one staff person is on duty. The wait times increase for the residents. Interaction with the elderly individuals is less frequent. Residents may sit in the dining room for an hour after dinner so that the staff on duty can feed a bedridden patient or wash dishes after dinner.

You Are Important

All facilities are similar when it comes to patient care. State regulations set the standard for daily care. The facility is making money for the owner. Never forget that profit is their bottom line!

Visit your loved one regularly. Provide the individual interaction that is needed. Take a special treat. Be a voice when adequate care is not provided. It is the least you can do for your family member!


Without belaboring the subject, let me summarize the various facilities I have experienced over the last five years.

The first level of care facility provided meals and apartment cleaning for all with medical and personal care services available as needed. Activities of all types were offered to those who were interested, from card games to trips to a movie. There was a freedom to come and go.

The second facility was locked with nurse care around the clock. It was an Alzheimer unit. There were levels of service available dependent on the patient functioning abilities. Daily activities such as music and crafts were provided.

The third eldercare facility was a residential home that was not state licensed. It had inadequate services and lacked the quality of care needed for its residents.

The last facility is also a converted residential home. It is state licensed and provides basic care.

Each of these facilities offered services congruent to Mom's needs during her years of decline. As her world has gotten smaller, she has shown less of a desire for activities and entertainment and more need for basic care. As her advocate, I have been called to voice her needs in various circumstances so that she would not be lost in the shuffle, forgotten, missed, or skipped over.

My husband and I were discussing this journey with Mom last night at dinner. He shared a very truthful insight. Each facility viewed her as more capable than she was. They did not adjust or compensate well with the changes she was experiencing. Her world became smaller in each facility and we had to move on to have those needs met. Well said.

Cast your vote for Eldercare For Mom/Four of Four

This website uses cookies

As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

Show Details
HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
LoginThis is necessary to sign in to the HubPages Service.
Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
AkismetThis is used to detect comment spam. (Privacy Policy)
HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
MavenThis supports the Maven widget and search functionality. (Privacy Policy)
Google AdSenseThis is an ad network. (Privacy Policy)
Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
Index ExchangeThis is an ad network. (Privacy Policy)
SovrnThis is an ad network. (Privacy Policy)
Facebook AdsThis is an ad network. (Privacy Policy)
Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
AppNexusThis is an ad network. (Privacy Policy)
OpenxThis is an ad network. (Privacy Policy)
Rubicon ProjectThis is an ad network. (Privacy Policy)
TripleLiftThis is an ad network. (Privacy Policy)
Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)
ClickscoThis is a data management platform studying reader behavior (Privacy Policy)