Choosing An Eldercare Facility

The American population is aging. In fact, according to U.S. Census Bureau statistics, one in five Americans will be over age 65 by the year 2050. As these people grow older, many will choose to continue living on their own or may decide to move in with family.

However, some will prefer to reside with people closer to their own age or will, by necessity, need to live in a facility that can cater to their changing medical needs. What should you keep in mind if you must choose an eldercare facility for yourself or a loved one?

The New Jersey Society of Certified Public Accountants (NJSCPA) offers the following tips:

Know Your Options
There are several types of facilities available. Independent living options are generally intended for healthy people who want to live among other seniors in a community designed for them. Assisted-living arrangements are meant for those who are relatively healthy, but who may need help with meal preparation, personal care or other needs. Nursing homes, which generally have 24-hour medical care available, are intended for those with more serious health problems and who require regular care and attention.

What’s Best for Your Loved One?
Your choice, of course, will depend on the current state of your older relative’s health and what changes you might expect in his/her situation in the near future. In other words, there’s no need to pay more for a facility that offers round-the-clock nursing care if it’s not necessary now, but that may be a worthwhile expense if the senior has health problems.

Check the Quality
Many people find eldercare facilities based on recommendations from others with family members in those facilities. While this is a great starting point, the only way to make a final decision is to visit the facility yourself and draw your own conclusions. Immediately on arrival, you will be able to judge whether the buildings and grounds are tidy and well maintained and seem cheerful and inviting. Ask whether a registered dietician or nutritionist plans meals, and tour the kitchen to see if it is clean and orderly. Spend some time at the facility to see if the staff seems consistently friendly and caring to residents.

Consider Location
Some seniors are reluctant to change residences, while others consider a move to be a welcome relief after years of maintaining a home. In either case, most seniors usually favor a facility that is near their family and friends. To find a facility in your desired location, go to

Check Resources
More information on choosing an eldercare facility can be found on the website of the U.S. Administration on Aging at and on the Medicare site ( under Compare Nursing Homes in Your Area. Medicare’s Guide to Choosing a Nursing Home also contains useful advice on how to pay for one of these facilities.

Know Your Options
Moving into a facility may not be necessary. Many communities offer services for the elderly, home health care aides or adult day care centers. A medical professional or a hospital social worker or discharge official can provide some advice on alternative choices.

Turn to Your CPA
Remember that your local CPA can help you understand your options in paying for the best eldercare choice for yourself or a loved one. Consult him or her on all the important financial issues facing your family.

If you don’t have a CPA, you can easily locate one online using the NJSCPA’s free, online Find-A-CPA service. Just go to, and in a few clicks you can locate a highly qualified professional who can assist you.
For more information on various personal financial matters, visit the NJSCPA’s public service website at While visiting, you can subscribe to Your Money Matters, the NJSCPA’s free, monthly email newsletter to receive valuable personal financial planning advice throughout the year.

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