Problems in Elderly Assisted-Living Care

If you've found it necessary to put your elderly loved one into an assisted-living situation, you may have concerns about what to expect there. Most assisted-living facilities do a fine job in caring for our nation's elders, but some grapple with serious problems. The key to finding a decent facility is to research your top contenders thoroughly. Once you've located an appropriate placement for your loved one, immediately address any issues that arise surrounding his care.

Staffing

• Understaffing is often a major issue in elderly assisted-living care. The staff-to-patient ratio should provide for enough care so that your loved one is adequately attended. If not, seniors can suffer in multiple ways. Some of them are physical, such as in cases of neglect. But understaffing, especially in activities staff, can have emotional implications as well, leaving an elder lonely, isolated and without intellectual stimulation.

Abuse

• Physical and emotional or verbal abuse is another serious consideration. Despite vetting processes and background checks, staff members who abuse patients can find employment in assisted-living facilities. If you notice unexplained bruises, abrasions or scratches on your elder, seek out the residence's administration immediately. If your elder complains of being called names by staff, being yelled at or suffering other derogatory treatment, consider taking legal action against the facility.

Neglect

• Neglect is often called a "silent killer" of those in long-term care. Depriving your senior loved one of appropriate food, water, medical treatment or personal care assistance can lead to myriad problems. These include starvation, dehydration, illness and injury, and increased rates of infection. Check on your loved one on a regular basis if she is in an assisted-living residence. Determine if she seems content and well-groomed, or if she complains of excessively long waits to get her needs met.

Financial

• Arranging the necessary finances to stay in their chosen placement is an issue for many seniors and their families. Assisted-living facilities are expensive, and Medicare does not pay for them. These facilities may also have a limited number of Medicaid slots available. Often seniors must use their own resources for assisted-living placements, or transfer to a nursing home where Medicaid is accepted.