Considerations for Moving a Loved One Home from a Nursing Facility, Rest Home or Assisted Living Residence
- Written by mass.gov and theconsumervoice.org (adapted)
- Published: 07 May 2020
During the declared State of Emergency in response to the COVID-19 pandemic, families may be considering whether their loved one should move from a Nursing Facility, Rest Home or Assisted Living Residence. The following information about the processes different facilities follow and the questions to ask can help in this complex decision making process.
Step 1: What type of facility does my loved one reside in?
The processes and implications are different depending on where your loved one resides.
|If a Loved One Lives in an Assisted Living Residence (ALR):||If a Loved One Lives in a Nursing Facility or Rest Home:|
There is no uniform process to move out as the tenancy is governed by landlord-tenant law; however,
If you have decided on a discharge home, you can begin the process by:
Have you factored in your loved one’s opinion about whether s/he wants to stay or go?
Step 2: Primary Considerations for Moving a Loved One
Here are some key questions to consider in moving a loved one from their facility to home:
- Have you factored in your loved one’s opinion about whether s/he wants to stay or go?
- Is there consistent support and a backup plan should that support not be available?
- Is your home able to handle your loved one’s needs?
- Has your loved one been tested to ensure they do not have the virus?
- Is there a plan for what would happen if someone in your home gets infected?
- What happens if your loved one becomes ill or needs more care than you can provide once they are in your home?
- Can your loved one return to the facility once the pandemic is over?
- Will your loved one have to reapply for Medicaid before going back to a nursing home?
- What specific services and supports does your loved one need?
Step 3: What are your loved one’s needs? Who will provide assistance?
This chart below can assist with evaluating your loved one’s needs, help you gage the level of assistance s/he may require, and who within the family/social support network can provide the in-home assistance. This chart can be shared with the social worker to help determine how much assistance is required and if an outside service is needed.
|Needs||Independent/Able to do for themselves||Family/Friend/In-home Support will provide needed assistance||Will need outside assistance|
|Getting into and out of chair or bed (Transferring)|
|Taking or reminding to take medication|
|Transportation to Medical Appointments|
|Supervision (due to cognition/memory loss)|
Step 4: If You Decide Outside Services Are Needed
Now that you have a sense of what your loved one’s needs are and which of these needs requires outside assistance, there are resources in your community to assist you with these decisions.
Aging Services Access Points (ASAPs), including LifePath, are available in every region in the state and can help evaluate the following questions regarding the long-term care needs of a loved one.
- What services or care are available to support community living?
- What assistive devices or home modifications are available to support my loved one living in the community?
- Does insurance cover any services, care and/or home modifications? If not, what funding, loans or donations may be available?
Additionally, if your loved one was previously receiving in-home services from their local ASAP, the ASAP can assist with reinstating services upon their return home.