Choosing the Right Memory Care Service: A Step-by-Step Guide for Families

How to Choose the Right Memory Care Service for Your Loved One

As our loved ones age, it’s not uncommon for them to experience cognitive decline. Alzheimer’s disease and other forms of dementia can significantly impact an individual’s ability to live independently and safely. This often leads families to consider memory care services. Finding the right memory care facility or service is a crucial decision, and it can be emotionally challenging.

In this comprehensive guide, we will take you through the step-by-step process of choosing the right memory care service for your loved one.

Step 1: Understand What Memory Care Is

Memory care services are designed to provide specialized care for individuals living with dementia, Alzheimer’s disease, and other memory-related conditions. These services are usually offered in assisted living communities or nursing homes, specifically equipped to cater to the unique needs of those with memory disorders.

It’s essential to understand that memory care goes beyond standard senior care. Staff at memory care facilities are trained to handle the unique challenges and behaviors associated with dementia, and the environments are designed to ensure safety and engagement for residents.

Step 2: Assess Your Loved One’s Needs

Before you start searching for memory care options, it’s vital to assess your loved one’s specific needs. Dementia is a broad term, and individuals can experience a wide range of symptoms and challenges. Consider the following factors when assessing their needs:

  1. Level of Care: What level of care does your loved one require? Some individuals with dementia may be relatively independent, while others need constant supervision and assistance with daily tasks.
  2. Behavioral and Emotional Challenges: Does your loved one exhibit any challenging behaviors, like aggression or wandering? Understanding these challenges will help you find a facility equipped to handle them.
  3. Medical Needs: Are there any specific medical needs related to the dementia, or other underlying health conditions that need to be addressed?
  4. Social and Activity Preferences: Consider your loved one’s social preferences and interests. Some facilities may offer specialized activities or therapies that align with their interests.
  5. Location: Think about the location of the facility. Would you prefer a facility near your home to allow for more frequent visits, or is there a particular location that your loved one prefers?
  6. Budget: Understand your financial constraints and determine what you can afford. Memory care can be costly, so it’s important to have a clear budget in mind.

Step 3: Research Memory Care Options

Once you have a clear understanding of your loved one’s personal needs, it’s time to research memory care options. Here are some ways to go about it:

  1. Online Research: Start by searching online for memory care facilities in your area. Websites like A Place for Mom and the Alzheimer’s Association can be valuable resources for finding facilities.
  2. Ask for Recommendations: Seek recommendations from friends, family members, and healthcare professionals who may have experience with memory care facilities in your area.
  3. Visit Facilities: Schedule tours and visits to the facilities you are interested in. This is a critical step in evaluating the environment, staff, and amenities provided.
  4. Check Reviews: Look for reviews and testimonials from current or former residents and their families. This can provide valuable insights into the quality of care.
  5. Consult with Professionals: Talk to geriatric care managers, social workers, and healthcare professionals who specialize in memory care. They can provide guidance and recommendations.

Step 4: Evaluate Memory Care Facilities

As you research and visit different memory care facilities, consider the following resident factors when evaluating them:

  1. Licensing and Accreditation: Ensure that the facility is licensed and accredited by the appropriate authorities. This indicates that they meet certain standards of care.
  2. Staff Training: Inquire about the training that staff members receive. They should be well-trained in dementia care and have experience dealing with memory-related conditions.
  3. Safety Measures: Assess the safety measures in place to prevent wandering and ensure the safety of residents. This includes secure entry and exit points, alarms, and monitoring systems.
  4. Engagement and Activities: Ask about the activities and engagement programs offered to residents. Mental and physical stimulation is essential for those with dementia.
  5. Meal Plans: Review the meal plans and consider any dietary restrictions or preferences your loved one may have.
  6. Cost and Payment Options: Discuss the costs and payment options with the facility. It’s important to have a clear understanding of what’s included and what may be additional.
  7. Family Involvement: Inquire about the facility’s policy on family involvement and visitation. You should feel comfortable with the level of access you have to your loved one.

Step 5: Talk to Current Residents and Their Families

One of the most valuable sources of information about a memory care facility is the residents and their families. During your visits, try to have conversations with them. Ask about their experiences and satisfaction with the care provided. You can gain valuable insights into the day-to-day life in the facility, the staff’s dedication, and the overall atmosphere.

Step 6: Review the Facility’s Contract

Before making a decision, carefully review the facility’s contract and policies. Pay attention to the following:

  1. Cost Structure: Understand the cost structure, including the base fee, any additional charges, and the billing cycle.
  2. Admission and Discharge Criteria: Be clear on the admission criteria and the circumstances under which a resident might be discharged.
  3. Family Involvement: Review the facility’s policies regarding family involvement, visitation, and participation in care planning.
  4. Privacy and Dignity: Ensure that the facility respects residents’ privacy and dignity in care and daily activities.
  5. Medication Management: Understand how medication management is handled, including who administers medications and how it is documented.
  6. Emergency Procedures: Know the facility’s emergency procedures and how they would handle medical emergencies or evacuations.
  7. Complaints and Conflict Resolution: Review the facility’s policies for addressing complaints and conflicts. It’s important to know how issues are resolved.

Step 7: Seek Legal and Financial Advice

The decision to move a loved one into memory care can have significant legal and financial implications. It’s wise to consult with legal and financial professionals to ensure that you are making the best decisions for your loved one’s well-being and your family’s financial stability.

  1. Legal Advice: An elder law attorney can help with legal matters, such as creating a power of attorney, establishing guardianship, or navigating Medicaid eligibility.
  2. Financial Planning: A financial advisor can assist in developing a plan to cover the costs of memory care, taking into account your loved one’s assets, income, and available benefits.

Step 8: Consider the Transition Process

Moving a loved one into memory care can be a challenging transition. Be prepared for the emotional toll it may take on both you and your loved one. Consider the following:

  1. Support Systems: Ensure you have a support system in place, including family members, friends, or support groups that can offer emotional assistance.
  2. Personal Items: Bring familiar and comforting personal items to help your loved one feel more at ease in their new environment.
  3. Visits: Plan regular visits to maintain your connection with your loved one and monitor their well-being.
  4. Communication: Maintain open and frequent communication with the facility staff to stay informed about your loved one’s condition and any changes in their care.

Step 9: Make the Personal Decision

After conducting thorough research, evaluating facilities, and considering the input of your loved one and their medical team, it’s time to make a decision. Trust your instincts and choose the memory care service that best aligns with your loved one’s needs and your family’s preferences.

Step 10: Monitor and Advocate for Your Loved One

Once your loved one is settled into a memory care facility, your role as an advocate doesn’t end. Continuously monitor their care and well-being, and maintain regular communication with the staff. Be prepared to advocate for their needs and preferences as they may change over time.


Choosing the right memory care service is a significant decision that involves careful consideration, research, and emotional preparation. By following this step-by-step guide, you can ensure that your loved one receives the best possible care and support in their journey with dementia. Remember that you are not alone in this process; there are professionals, support groups, and resources available to help you make the right decision and provide the best possible quality of life for your loved one.