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Tips for Selecting a Nursing Home

A nursing home, in Ohio, is a health care facility, licensed by the Ohio Department of Health, that offers a protective, therapeutic environment for those who need rehabilitative care or can no longer live independently because of chronic physical or mental conditions that require round the clock care.

Older Ohioans now have more choices concerning how they live and the care and services they receive. Keep the following points in mind when you are looking for a nursing home:

  • Be prepared. Don't wait until there is crisis. Visit several different providers to compare services.
  • Be realistic about health care needs. This is often difficult since one's inclination is to minimize problems as aging occurs.
  • Be realistic about the environment. Beautiful surroundings and amenities are only part of the picture. Examine how the provider meets your personal interests, life style preferences, religious and health care needs.
  • Understand the limitations of the provider and the services that can be legally provided.

Payment Options

Traditional Medicare meets the cost of short term or rehabilitation in any Medicare participating facility after a qualified hospital stay. Some facilities also have a contract with different private insurances to cover the cost of shor-term stay. (The Social Worker or the Admission Co-Ordinator at the facility should be able to help you understand what is available to help you.)

Medicaid meets the cost of ongoing care in most facilities for those with income and resources below certain levels. Arrangement from the private funds could also be made for the cost of the care.

Factors to consider when selecting a nursing home:

  • Does the facility participate in the Medicare or Medicaid program? Participation in such programs can assist in meeting the cost of care.
  • If you are enrolled in Medicare HMO, will any post-acute care following hospitalization be covered in the facility?
  • Are amenities (such as private rooms, individual televisions, private telephones) available and at what cost?
  • Is there an on-staff physician if needed? Does the resident physician visit the facility?
  • What activity programs and special events are held at the facility? What excursions are planned for those who are able to take advantage of them? What religious activities are offered?
  • What is the facility's policy on "do not resuscitate" orders, advance directives, durable power of attorney and other end of life decisions?
  • Do the residents appear comfortable, well groomed and involved in meaningful activities?
  • Is the overall facility well maintained, pleasing, cheerful? Does the staff seem friendly, caring and accommodating to residents and visitors?
  • What are the visiting provisions? Is there a private area for visits? What are the normal visiting Hours?