5 Questions to Ask When Choosing a Long-Term Care Facility

May 21, 2025

Choosing a long-term care facility for yourself or a loved one is one of the most important decisions you can make. Beyond basic safety and cleanliness, the right facility should support a person’s independence, dignity, and overall quality of life. To help you make an informed choice, here are five essential questions to ask, along with key follow-ups that can give you a deeper sense of what daily life will be like at the facility.


1. How does the facility support independence and person-centered care?

Person-centered care means that residents are active participants in their care and daily routines. Ask:


  • Can residents choose when to wake up and go to bed?
  • Are meals and activities tailored to individual preferences?
  • Is there flexibility for “early birds” and “night owls”?


Look for signs that staff respect residents’ individuality—such as accommodating dietary preferences and encouraging participation in meaningful activities.


2. What medical and rehabilitation services are available on-site?

Quality care goes beyond assistance with daily activities. Ask about:


  • Access to hospice care and pain management
  • Availability of wound care and ostomy specialists
  • In-house physical, occupational, speech, and mental health therapies
  • Staffing levels—how many nurses and aides are on duty at different times of day?


These services can have a major impact on recovery, mobility, and comfort.


3. What is the atmosphere like during meals and activities?

Daily life should be engaging and social. Ask to observe a meal or an activity session. Consider:


  • Are residents out of their rooms and interacting with others?
  • Do meals look appetizing and meet special dietary needs?
  • Is assistance with eating provided promptly and respectfully?


Also ask about field trips, volunteer involvement, and whether there is an active activities room or calendar of events.


4. What do current residents and families say about their experience?

Talking to those already living in or visiting the facility can give you valuable insight. Ask residents:


  • Do staff respond quickly when you call for help?
  • Do you enjoy your meals and feel your privacy is respected?
  • Are you involved in decisions about your care?


Ask families:

  • Are you promptly notified of any accidents or health changes?
  • Do you feel comfortable raising concerns?
  • Is there a Family Council and does the facility listen to it?


5. How transparent and responsive is the administration?

A responsive leadership team is key to resolving issues and maintaining quality. When meeting with the Administrator or Director of Nursing, ask:


  • How do you handle complaints?
  • How are staff trained and how long do they typically stay?
  • What’s your policy on resident rights, such as refusing treatment?


You can also ask to review the admission contract, learn about costs and refund policies, and understand how care decisions are made if the resident is unable to speak for themselves.


Want more questions to ask?

Visit our full guide: Is This the Nursing Home to Choose?



It includes detailed sections on services, nursing care, residents' rights, and conversations to have with administrators, staff, and families.


At Kansas Advocates for Better Care, we believe everyone deserves compassionate, dignified, and person-centered long-term care. Asking the right questions is the first step to getting it.

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By Libby Hastings • October 28, 2026
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KABC Testifies before the Kansas Silver Haired Legislature

By Libby Hastings • October 19, 2026
KABC Testifies before the Kansas Silver Haired Legislature Kansas Advocates for Better Care (KABC) is urging state leaders to provide additional funding to eliminate the waitlist for the Home and Community-Based Services (HCBS) Frail Elderly (FE) Waiver, which helps older Kansans access the services they need to remain in their homes and communities. In testimony submitted to the Kansas Silver Haired Legislature (KSHL) on October 6 th in Topeka, KABC Executive Director Dan Goodman emphasized the importance of preserving access to in-home care and preventing older adults from entering nursing facilities before they need that level of care. The FE waiver waitlist, implemented July 6, 2026, has already affected hundreds of older Kansans. Without additional funding, more people could face delays in receiving essential services, potentially accelerating health declines and increasing the likelihood of premature nursing home placement. KABC is recommending $31 million in additional funding for the FE waiver in fiscal year 2027 to address projected funding shortfalls and help eliminate the waitlist. Kansas Silver Haired Legislature Sets 2027 Priorities On October 7 and 8, 65 delegates representing regions across Kansas gathered on the floor of the Kansas House of Representatives in Topeka for the Kansas Silver Haired Legislature's annual session. During the session, delegates approved five resolutions outlining their legislative priorities for 2027. The resolutions focus on supporting older Kansans' independence, financial security, access to care and participation in civic life. The five priorities are: Fund senior transportation Protect in-home care Increase funding for the FE waiver to help older Kansans receive care in their homes and communities. KABC supports this priority and is urging the state to add $31 million in funding for fiscal year 2027 to eliminate the FE waiver waitlist. Strengthen Medicaid Raise the Personal Needs Allowance Increase the Personal Needs Allowance for nursing home residents who receive Medicaid Protect senior voting rights These priorities address interconnected challenges facing older Kansans, from accessing transportation and affordable care to maintaining independence and financial security. The Importance of Care at Home The FE waiver was established to help older Kansans access community-based services that allow them to remain in their homes for as long as possible, delaying or avoiding the need for more costly institutional care. These services can make a significant difference in an older adult's ability to maintain independence, health and quality of life. When needed support is unavailable, however, individuals and families may have fewer options for managing care at home. Kansas already faces challenges in this area. According to the United Health Foundation's America's Health Rankings, Kansas ranks 47th in the nation for placing low-care residents in nursing facilities. KABC is concerned that limiting access to home- and community-based services could contribute to further premature institutionalization. The Cost of Delayed Access The potential impact of the waitlist is significant. According to KABC's testimony, the state faces a projected $31 million shortfall for the FE waiver in fiscal year 2027, putting access to critical in-home services at risk. Historical data also illustrate the potential scope of the problem. In 2003, a similar FE waiver waitlist affected approximately 20% of eligible participants. The Kansas Department for Aging and Disability Services (KDADS) reports that 9,306 Kansans are currently eligible for the waiver. Applying that historical 20% figure to today's eligible population suggests that approximately 1,861 older Kansans could be affected in fiscal year 2027. While this estimate is based on a historical comparison, it underscores the potential consequences of insufficient funding. Investing in Older Kansans  The goal is to help older Kansans receive the services they need when they need them, rather than risk declining health or entering institutional care because community-based options are unavailable. As Dan Goodman emphasized in his testimony, investing in home- and community-based services offers an opportunity to support older adults' independence while potentially avoiding the greater costs associated with premature institutionalization. The Kansas Silver Haired Legislature's 2027 priorities provide a framework for addressing the needs of older Kansans across the state. KABC's support for increased FE waiver funding aligns with the Legislature's call to protect in-home care and ensure older adults have meaningful choices about where and how they receive care. KABC will continue advocating for policies and resources that protect older Kansans' access to quality long-term care, wherever they call home.