Choosing a memory care facility for a loved one is a major decision, especially when they experience challenging behaviors associated with dementia, such as aggression, wandering, or resistance to care. Not all facilities are equipped to handle these behaviors effectively, so it’s essential to find a community with the right expertise. This checklist will help you compare options and ensure your loved one receives the best possible care.
1. Staff Expertise and Training in Challenging Behaviors
Caring for individuals with dementia-related behaviors requires specialized skills and patience. When evaluating a facility, ask:
✔ Are staff members trained in behavioral interventions and de-escalation techniques?
✔ How does the team handle aggression, anxiety, or resistance to care?
✔ Is there a behavior management plan tailored to each resident?
2. Safety and Security for High-Risk Residents
For individuals prone to wandering, exit-seeking, or self-harm, a secure environment is critical. Look for:
✔ Secure entrances and exits to prevent wandering while maintaining freedom of movement
✔ A high staff-to-resident ratio to ensure proper supervision, especially for those with unpredictable behaviors
✔ Emergency response systems in resident rooms and throughout the facility
3. Individualized Behavioral Care Plans
No two people experience dementia the same way, so personalized care is essential. Ask:
✔ Does the facility conduct regular assessments to adjust care as behaviors change?
✔ Are individualized care plans designed to reduce agitation, aggression, or distress?
✔ How does the staff incorporate redirection techniques, sensory therapy, or structured routines?
4. Engagement and Behavioral Support Activities
Structured activities can help reduce anxiety, aggression, and restlessness. When touring a facility, consider:
✔ Are activities designed to engage residents with behavioral challenges, such as music, art, or movement therapy?
✔ Are there calming spaces or sensory rooms for de-escalation when needed?
✔ How does the facility encourage participation for residents who may be resistant to group activities?
5. Environment and Physical Layout
A dementia-friendly environment should be structured for both safety and comfort. Look for:
✔ Clearly marked pathways to reduce confusion and agitation
✔ Secure outdoor areas where residents can move freely without risk
✔ Low-stimulation spaces for residents prone to aggression or sensory overload
6. Nutrition and Mealtime Support
Challenging behaviors often affect eating habits, making meal support crucial. Check for:
✔ Staff trained in assisting residents who refuse to eat or have difficulty swallowing
✔ Modified diets for those with chewing/swallowing issues or sensory aversions
✔ A calm, structured dining environment to reduce agitation during meals
7. Medical and Crisis Management
Memory care facilities that specialize in challenging behaviors must have a clear plan for handling medical and behavioral crises. Ask:
✔ Is there 24/7 medical supervision, and how are emergencies handled?
✔ Are staff trained to reduce the use of medications and focus on non-pharmacological interventions first?
✔ What partnerships does the facility have with psychiatrists, neurologists, or behavioral specialists?
8. Family Communication and Support
For families of residents with challenging behaviors, regular updates and guidance are critical. Look for:
✔ Transparent communication on how behaviors are managed and any changes in care
✔ Support groups, education, or training sessions for family members
✔ A welcoming approach that encourages family visits, even during difficult phases
9. Cost and Financial Considerations
Memory care for residents with behavioral challenges may come with additional costs for specialized care. Be sure to ask:
✔ Is there an additional charge for high-acuity behavioral care?
✔ What happens if a resident requires more intensive support or a one-on-one aide?
✔ Are there financial assistance options or long-term care insurance coverage?
10. Reputation and Specialization
Not all memory care facilities are equipped to handle behavioral complexities. Do your research:
✔ Look for facilities with a strong track record in behavioral memory care
✔ Read reviews and ask families of current residents about their experiences
✔ Ensure the facility has no history of neglect, excessive medication use, or resident evictions due to behaviors
Final Thoughts
Finding a memory care facility that specializes in challenging behaviors requires careful evaluation. By using this checklist, you can ensure that your loved one is placed in a setting where their needs are met with compassion, expertise, and dignity.
At Millennium Memory Care, we specialize in caring for individuals with behavioral complexities and offer a personalized, therapeutic approach. If you’d like to learn more or schedule a tour, contact us today.