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INDIVIDUAL UNIT
�� ���� ���� ���� ���� ���� �� Are different sized and types of units available?
���� ���� ���� ���� ���� �� Are units for single and double occupancy available?
���� ���� ���� ���� ���� �� Do residents have their own lockable doors?
���� ���� ���� ���� ���� �� Is a 24-hour emergency response system accessible from the unit?
���� ���� ���� ���� ���� �� Are residents able to bring their own furnishings for their unit
and what may they bring? What is provided? May they decorate?
���� ���� ���� ���� ���� �� Do all units have a telephone & cable TV & how is billing handled?
���� ���� ���� ���� ���� �� Is a kitchen area/unit provided with a refrigerator, sink, and
cooking element?
���� ���� ���� ���� ���� �� May residents keep food in their units?
���� ���� ���� ���� ���� �� May residents smoke in their units? In public spaces?
���� ���� ���� ���� ���� �� Are bathrooms private or shared? If shared, by how many?
���� ���� ���� ���� ���� �� Do bathrooms have grab bars in showers and raised toilets?
���� ���� ���� ���� ���� �� Is a roll-in shower available?
���� ���� ���� ���� ���� �� Do residents control the A/C and heat in their units?
SOCIAL & RECREATIONAL ACTIVITIES ��������������������������������������������������������
���� ���� ���� ���� ���� �� Is there evidence of an organized activities program, posted
schedule, events in progress, reading materials, etc.?
���� ���� ���� ���� ���� �� Are residents participating in activities?
���� ���� ���� ���� ���� �� Are residents’ pets allowed? Who is responsible for their care?
���� ���� ���� ���� ���� �� Does the residence have its own pets?
���� ���� ���� ���� ���� �� Are visitation hours reasonable?
�� ���� ���� ���� ���� ���� �� Are activities/entertainment offered outside of the building?
Costs?
���� ���� ���� ���� ���� �� Are activities/entertainment brought into the building?
���� ���� ���� ���� ���� �� Are religious services are available at the residence?
FEES, NEEDS & CONTRACTS
���� ���� ���� ���� ���� �� Can you obtain all forms requiring signatures?
���� ���� ���� ���� ���� �� Is there a lease contract?
�� ���� ���� ���� ���� ���� �� May a contract be terminated and what are the refund policies?
���� ���� ���� ���� ���� �� Are there any government, insurance or private programs
available to help cover the cost of services?
���� ���� ���� ���� ���� �� Are additional services available if the resident’s needs change?
�� ���� ���� ���� ���� ���� �� Are there different costs for various levels of care, or is cost all
inclusive of care services?
���� ���� ���� ���� ���� �� Do billing, payment and credit policies seem fair and reasonable?
���� ���� ���� ���� ���� �� Is there an appeals process for dissatisfied residents?
���� ���� ���� ���� ���� �� Is there a cap on which the monthly rate can be increased?
���� ���� ���� ���� ���� �� Is there assistance if I run out of money?
Under what circumstances would I have to move out of residence?
���� ���� ���� ���� ���� �� Incontinence?
���� ���� ���� ���� ���� �� Dementia?
���� ���� ���� ���� ���� �� Need for someone to give me my medications/injections?
���� ���� ���� ���� ���� �� Needing more help than I do now?
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