🖨️How to Use This Checklist
• First: Download the PDF using the "Download PDF Checklist" button above
• Print the downloaded PDF for best formatting and page breaks
• Check off questions as you ask them or get answers
• Use the notes section to record important responses
• Bring this printed checklist to meetings with providers
• Keep completed checklists for future reference
🎯Room Assignments
4 questions to cover
1. What type of room is available (private, semi-private, or shared)?
Why this matters: The type of room can significantly impact your loved one's privacy, personal space, and ability to personalize their living area. Knowing the room options can help you find the best fit.
2. How are roommates (if any) selected and matched?
Why this matters: Compatibility with a roommate is crucial for your loved one's wellbeing. Understanding the facility's roommate selection process can help ensure a harmonious living arrangement.
3. Can my loved one request a specific roommate or room type?
Why this matters: Allowing your loved one to have some input on their room assignment can help them feel more comfortable and in control of their living situation.
4. What is the process for changing rooms if needed?
Why this matters: Your loved one's needs may change over time, so it's important to know the facility's policies and procedures for relocating to a more suitable room.
Additional Notes for Room Assignments:
💡Room Features
4 questions to cover
1. What is the size and layout of the room?
Why this matters: Knowing the room's dimensions and design can help you assess whether it will comfortably accommodate your loved one's mobility needs and personal belongings.
2. What type of furniture and furnishings are provided?
Why this matters: Understanding the included furniture and the ability to bring personal items can help your loved one feel more at home in their new living space.
3. Are there any special features or adaptations for residents with disabilities?
Why this matters: Ensuring the room is equipped to meet your loved one's specific needs can improve their safety, independence, and overall quality of life.
4. What is the temperature control and ventilation like in the rooms?
Why this matters: Comfortable and well-regulated temperature and airflow are essential for your loved one's health and comfort.
Additional Notes for Room Features:
🔍Bathroom Amenities
3 questions to cover
1. Is there a private or shared bathroom?
Why this matters: The bathroom arrangement can impact your loved one's privacy and independence, so it's important to understand the options.
2. What accessibility features are available in the bathroom?
Why this matters: Knowing the bathroom's safety and mobility features can help ensure your loved one can bathe and use the restroom comfortably and independently.
3. Are there any special bathing or shower accommodations?
Why this matters: Understanding the facility's bathing options can help you determine if they can meet your loved one's needs, whether that's a standard shower, tub, or specialized equipment.
Additional Notes for Bathroom Amenities:
⭐Other Amenities
4 questions to cover
1. Is there a private outdoor space or garden area?
Why this matters: Access to nature and outdoor spaces can have a significant positive impact on a resident's physical and mental wellbeing.
2. What entertainment and recreational activities are available?
Why this matters: Engaging social and recreational opportunities are crucial for your loved one's quality of life and overall health.
3. Are there any communal areas or common spaces for residents?
Why this matters: Shared spaces for socializing, dining, or simply relaxing can foster a sense of community and belonging.
4. What technology or communication amenities are available in the rooms?
Why this matters: Access to things like TV, internet, or even video call capabilities can help your loved one stay connected with friends and family.
Additional Notes for Other Amenities:
📋Personalization and Customization
3 questions to cover
1. Can residents personalize or decorate their rooms?
Why this matters: The ability to add personal touches and make the space feel like home can significantly improve your loved one's comfort and sense of belonging.
2. Are there any restrictions on bringing personal items or furniture?
Why this matters: Understanding the facility's policies on bringing in personal belongings can help you plan what your loved one can reasonably have in their room.
3. Can residents adjust the lighting, temperature, or other room controls?
Why this matters: Giving residents some control over their living environment can enhance their sense of independence and well-being.
Additional Notes for Personalization and Customization:
📊 Summary & Next Steps
Key Concerns Identified:
Follow-up Actions:
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