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I am going to be placing my sister in her seventies who has been in a wheelchair for several for years and has a lot of severe mental and general aging health issues, and needs help with everything. What kind of facility should I be searching for?

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I notice on your bio that your mom is in a NH. Have you considered placing your sister in the same home? It would make life easier for you I would think. Are they in different communities?

If sister will be needing Medicaid to pay for her care then she would need to qualify medically and financially.

A needs analysis can be done to determine the proper level of care.

Are you your sisters DPOA or guardian? Are you her current caregiver?

If sisters affairs are complicated, it might be worthwhile to visit a certified elder attorney to assist you in this process.
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Plan to research and visit more than one place.

Look for one most local to whomever has her PoA or guardianship.

Ask around for personal experiences with that facility, like on NextDoor.com.

Make sure it accepts Medicaid, unless your sister has very robust finances.

Facilities owned and run by religious organizations often are more affordable and see what they do as a mission, so their residents get better care (this is where my MIL is now and we're very pleased).

Look for one where the admin has been the same for several years (high turnover of staff is never optimal but high turnover of admin is even worse).

Make sure they have an activities and events director, that there are lots of social and experiential options for the residents, even though your sister has severe mental challenges -- it's still beneficial for her.

Look past the "new and shiny" appearances because in the end, it's the quality and quantity of care that matters, not how new or pretty a place is.

Finally, in this age of covid, make sure they will allow visitors even if there's a lock-down situation again. They need to allow "essential caregivers" in at all times for any reason.

I wish you much success in finding the right fit!
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I would say Skilled Nursing, Nursing Home, Long term care which ever term your area calls it. I don't think an Assisted Living can care for a person with all of ur Sisters problems. I like the idea of placing her where you Mom lives. If sister is 24/7 care, than she probably fits the criteria for a LTC facility.
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