Ask questions that reveal how the community operates after the sales tour is over.

Important questions include:

When is a nurse in the building?

Who responds overnight?

How are falls handled?

How long does it take to answer a call button?

What services cost extra?

How often do rates increase?

What would require a resident to move?

How is medication managed?

How much staff turnover has occurred?

How are dementia behaviors handled?

Can we review the residency agreement before paying a deposit?

Is the deposit refundable?

What happens if care needs increase?

When touring communities in Geneva, St. Charles, Batavia, Aurora, Elgin, Naperville, or nearby cities, look beyond the décor. Pay attention to resident engagement, cleanliness, staff interaction, call response, and how directly your questions are answered.

Requirements vary, but families are commonly asked to provide:

Identification and insurance information

Medication list

Physician history and physical

Current medical diagnoses

Physician orders

Recent nursing or therapy notes

Hospital or rehabilitation records

TB testing

Cognitive testing or BIMS results when applicable

Power-of-attorney documents

Advance directives

Pharmacy information

Emergency contacts

Financial paperwork

Signed residency documents

The community will also complete or request an assessment to confirm that it can meet the person’s needs.

Gathering these documents early can prevent delays when a move needs to happen quickly.

The first 30 days are usually an adjustment period for both the resident and the family.

Your parent may feel relieved, angry, confused, homesick, tired, or uncertain. They may repeatedly ask to go home, especially when memory loss is involved.

Families should stay in communication with the community, but avoid judging the entire experience based on the first difficult day.

Ask for a care-plan check-in after the staff has had time to observe:

Sleep patterns

Appetite

Medication response

Social engagement

Mobility

Toileting

Mood

Confusion

Requests for help

The goal is not simply to complete the move. It is to help the person settle into a safe and sustainable routine.

Most families benefit from touring two to four carefully selected communities rather than visiting every option in the area.

A shorter list makes it easier to compare care, cost, location, staffing, and overall fit without becoming overwhelmed. Before touring, confirm that each community can realistically support your parent’s medical, mobility, memory, and financial needs.

Senior Source helps families narrow options in Geneva, St. Charles, Batavia, Aurora, Elgin, Naperville, and nearby cities before tours are scheduled.

Common red flags include unanswered call lights, strong odors, limited resident engagement, frequent staff turnover, unclear pricing, rushed answers, and staff who appear unfamiliar with residents.

Also pay attention when a community avoids answering questions about:

Falls and emergency response

Overnight staffing

Medication management

Rate increases

Care limitations

Refundable deposits

Reasons a resident may be discharged

A beautiful building does not automatically mean the care is strong.

Ask each community for a written estimate based on your parent’s actual care needs.

Compare:

Monthly apartment cost

Care-level charges

Medication fees

Community or move-in fees

Incontinence and transfer assistance

Transportation

Rate-increase policies

Refundable and nonrefundable deposits

Do not compare only the advertised starting price. The better comparison is the expected total monthly cost today and what it may become if care needs increase.

Whenever possible, the community should review your parent’s needs and explain whether it can safely provide care before the family makes a nonrefundable financial commitment.

Before paying a deposit, ask:

Is the deposit refundable?

What happens if my parent is not approved?

How long will the apartment be held?

Has the nurse or care team reviewed the records?

Could the proposed care level change after move-in?

Request these terms in writing. A verbal promise is difficult to rely on later.

A move may sometimes be completed within several days, but the timing depends on apartment availability, assessments, medical paperwork, medication orders, finances, and the person’s care needs.

Moves directly from a hospital or rehabilitation facility may require additional coordination.

Families can help prevent delays by gathering:

Medication lists

Physician paperwork

Hospital or therapy records

Power-of-attorney documents

Insurance information

TB testing

Emergency contacts

Urgent placement may be possible, but faster does not always mean better. The community must still be able to safely meet the person’s needs.

Bring familiar belongings that make the apartment feel comfortable without creating clutter or fall hazards.

Helpful items may include:

Favorite chair or small furniture

Photographs

Bedding

Clothing

Toiletries

Television or radio

Clock and calendar

Familiar artwork

Walker, wheelchair, or approved equipment

Copies of important documents

Ask the community what furniture is provided, what items are prohibited, and how medications should be transported.

For someone living with dementia, familiar objects can make the new environment feel less confusing.

Keep the explanation simple, calm, and consistent.

A person living with dementia may not understand or remember the reasons for the move. Repeatedly discussing falls, medication mistakes, or unsafe behavior may increase fear without creating understanding.

Whenever possible:

Prepare the room before arrival

Bring familiar photographs and furniture

Move during the person’s best time of day

Avoid too many relatives on moving day

Share routines, preferences, and life history with staff

Ask a staff member to greet and engage your parent immediately

The goal is not to win an argument. It is to make the transition feel as safe and familiar as possible.

It is common for a new resident to say they want to go home, especially during the first several days or weeks.

Listen to the concern without immediately arguing. “Home” may represent familiarity, independence, a former spouse, an earlier stage of life, or simply feeling safe.

Ask the staff what they are observing:

When does the request happen?

Is the person lonely, tired, hungry, or confused?

Are they sleeping and eating?

Are they participating in activities?

Is pain or medication contributing?

What helps redirect or reassure them?

A difficult first day does not always mean the move was a mistake. Give the community time to establish a routine while continuing to monitor whether the care plan is working.

Adjustment may take several weeks and sometimes longer.

The timeline depends on the person’s health, memory, personality, reason for moving, family involvement, and how quickly the community builds a consistent routine.

Some residents begin participating within days. Others remain angry, withdrawn, or homesick for a period of time.

Families should schedule a care-plan review after staff have had time to observe the resident’s sleep, appetite, mobility, mood, medication response, and social engagement.