Questions to Ask When Touring a Long-Term Care Facility

Libby Hastings • May 30, 2024

Choosing a long-term care facility can be a daunting experience. Most people have no idea where to begin. There are so many things to consider! So many questions! KABC has compiled a list of eight important questions to ask and have answered, to help make your decision a bit easier. For more information and additional tips, please check out our resources, “Is This the Nursing Home to Choose?” or “Planning for Better Care.”


1) What is the resident to staff ratio? During your tour, inquire about the number of staff in the facility vs number of residents. A higher staff ratio often means residents receive more personalized care and attention. It can also lead to better outcomes for residents including reduced rates of infection, fewer falls and improved quality of life.


2) How do you handle medical emergencies and provide ongoing care? Medical emergencies can happen at any time. What procedure does the facility have in place for handling emergencies while still providing ongoing care to other residents? Delays or inadequate response can have serious consequences for resident health and well-being. Don’t hesitate to ask! Your loved- one’s safety depends on it!


3) What types of recreational activities and social events do you offer? Quality of life extends beyond medical care. Ask about the activities and other events offered. Social isolation can have a negative impact on a person’s mental and physical health, so it’s important for residents to have opportunities for social engagement and connection. A vibrant community enhances residents’ well-being.


4) What safety measures are in place to prevent falls and accidents? Ensuring safety is paramount for residents in long-term care facilities. Falls are a serious concern, especially if call lights go unanswered. When touring, ask about staff

response times to call lights, and what protocols are in place to prevent falls. If a fall occurs, does staff call 911? Do they attempt to pick up the resident or wait for help? Is the fall reported to the Kansas Dept. for Aging & Disability Services? (FYI - reporting is mandatory.)


5) How do you ensure that residents receive personalized care plans tailored to their needs? During your tour, always ask about the process for creating individualized care plans. Advocate for person-centered care. How does the facility assess resident needs and preferences to make sure they receive the care they require and deserve in a dignified fashion?


6) What is the protocol for administering medications to residents? How do you assure accuracy and compliance? Accurate medication administration/management is vital for the health and safety of residents. Ask how the facility maintains accuracy in dosage and documentation. Understanding these processes can help assure your loved-one receives the right medication at the right time.


7) What are your dining options and meal plans offered, including any special/restricted dietary accommodations? Nutrition tailored to individual need, including religious/cultural belief, food preferences or medically-restricted diets is crucial for the well-being of any resident. Ask how these needs are met. Knowing your loved-one is getting the proper nutrition can provide peace of mind.


8) What types of therapies and rehabilitation services are available on-site for residents who require them? Fostering holistic well-being means addressing both physical and mental health needs in long-term care settings. Ask about the availability of physical, speech and occupational therapy services. Are they available in-house? Do you offer mental health support? Understanding these services can ensure the facility offers multidisciplinary care.

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.

2026 Caregiver Training and Membership Meeting

By Libby Hastings • September 21, 2026
On Thursday, September 10th, KABC hosted our annual caregiver training, with speaker Jessica Clossen, and membership meeting. Over 30 people attended!  The meeting began with a brief introduction to KABC by Libby Hastings, Communications and PR coordinator. Afterward, Karen Weber, KABC Board Vice President, led the membership meeting. During the membership and business meeting, Karen Weber (Vice President), Dave Ranney (Secretary), Rachel Stahle, Dustin Baker, and Deborah Merrill were unanimously voted to retain their current board positions. During the caregiver training portion, Navigation Memory Care: Knowing When It Is Time & How To Choose, Jessica Clossen discussed important tips for navigating memory care, including: The hidden cost of waiting too long and caregiver burnout Defining memory care Memory care transition guidance What to look for in a memory care setting Staffing and training Culture and activities Dining and daily routines We are so incredibly thankful to Jessica for sharing her time and expertize with our attendees. If you'd like to connect with Jessica Clossen, email her at jclossen@dementia-care-consulting.com or call 913-585-5178 . To view the recording of our 2026 caregiver training and membership meeting, please visit our YouTube page here. A copy of the presentation slides is available here .