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CHECKLIST

Assisted Living Checklist

This checklist is provided to you so that you have some basis for comparison as you examine Assisted Living Facilities for your family member or loved one. It contains the characteristics recommended by the Montana Ombudsman Program.

Print this checklist and take it with you to fill out while visiting facilities you are considering.

Question
Facility #1
Facility #2
Is the home licensed by the State of Montana?

* All Personal Care Homes should have a current license posted and available to the consumer.

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Is the facility neat, clean, safe and in good repair? When touring the facility look for the following:
* Are the floors and furniture clean? .. ..
* Are there noticeable odors? .. ..
* Are there noticeable dangers for trips and falls by Residents? . .
* Are there stairs that may make it unsafe in the event of a fire? . .
* Are there posted fire exits, extinguishers, smoke alarms? . .
* Is the facility as clean and neat as you are used to? . .
Is there enough qualified staff to provide care for the Residents? . .
What are the physical and social activities provided by the facility? .. ..
Does the facility provide safe transportation to scheduled appointments and activities? . .
What do the current Residents think of the facility?
* Do you see evidence that the Residents are treated with dignity and respect? . .
Does the facility suit my lifestyle? . .
* Do they allow pets? . .
* Do they allow smoking or alcohol? . .
* Are visitors welcome at any time? . ..
What are the sleeping rooms in the home?
* Will there be room for my furniture? . .
* Do I share a room with someone else? . .
What do the meals being served while you are visiting the facility look like?
* Is the menu posted for the Residents to see? . .
* Does the facility have a copy of the week's menus? . .
* Does it appear to be nutritious and suit your likes and dislikes? .... ....
* Do the meals look appetizing? .. ..
* Are there snacks available during the day? .... ...
* Will they prepare meals for special diets? .. ..
?* Can you have family members or guests to meals? .. ..
* Is there an alternative provided if you do not care for the meal? .... ....

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