10/28/2026
📋 A tour shows you the lobby, the dining room, and a model apartment. The questions that decide whether a move works often don't come up unless you ask them.
Start with the money. Ask for the fee schedule for every care level, how often residents are reassessed, and how much notice the community gives before a rate increase.
The Medicaid question needs a straight answer before anyone signs. Federal law doesn't let Medicaid pay for room and board in assisted living. Even where a state program helps with care, the resident still pays for the apartment and meals, usually from their own income, though some states add a supplement or limit what a community can charge Medicaid residents for room and board.
Not every community accepts Medicaid, so ask directly. In 2022, about 1 in 6 assisted living residents had Medicaid help pay for their care.
The move-out question matters just as much. State rules and each community's own policies limit the care it can provide, and two-person transfers and wandering are among the needs that can force a move. Get those limits in the contract, not just in conversation.
Assisted living is licensed by each state rather than the federal government, so rules on staffing, nurses, and inspections differ from state to state. Ask the community for its most recent inspection report, and if it won't share one, your state's licensing agency can tell you how to get it.
The last questions are about what you see rather than what you're told. Eat a regular meal, talk with residents and families away from staff, and compare the activities calendar with what's actually happening in the halls.
Readers added good ones when this ran before: who handles maintenance on weekends, what the plan is for evacuations and severe weather, whether rides to doctor's appointments are included, and how financially stable the owner is.
Then come back at a time you didn't schedule, like a weekday evening, and compare what you see with the tour.
What's the one question you wish you'd asked before a parent moved in?
The content shared here is for educational and informational purposes only. It is not personalized investment, tax, legal, or financial advice. Consult a licensed professional before making decisions based on your specific situation.