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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I would like to point out that I have a couple of friends and a sibling who either have relatives in assisted livings and nursing homes or provide ministerial/pastoral care visits to those in facilities.  They have all seen a stunning decline in the quality of services due to labor shortages. One person who had their very nice CCRC all picked out said they will now never go into one. That leaves home health care aids, which is another area experiencing shortages. So, while it is good to plan options other than family members, those options appear to be rapidly deteriorating in quality.  [/quote]

You can find quality aids if you pay top dollar outside of care companies. It’s a lot of work finding a good one but once you do it’s worth every penny. Our parents have a fantastic one that we found privately and [b]she’s fantastic. And definitely not cheap[/b]. [/quote]

How much is not cheap? And what makes her great?  TIA![/quote]

They have i caregiver and not through an agency? How many hours? What if she is sick? Do you give her paid sick leave and benefits? We found the best ones did not stay at the job and we used an agency so there was backup. On Care.com there were a lot of people who did not have proof of citizenship and were not bonded and insured. It's a risk.

Residential facilities are bashed so much on here and not enough people talk about the social aspect. There is nothing like seeing your parents make new friends and join activities and outings. Once they get acclimated it can give them a whole new lease on life. Using that part of your brain-learning new names, showing kindness and compassion for others, sharing laughter all helps slow the decline and can even do some reversal. Yes, they are understaffed and there can be issues, but the pros far outweighed the cons with our family members who went that route.[/quote]

THis 1000%

Even in memory care, patients do better when they have more interactions.  For my aunt, it's often (in the earlier stages) a group sitting around doing puzzles, oftentimes it's toddler/ES aged puzzles but they are together, talking and doing things.  Way better than sitting at home alone with not much interaction.

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