12 Questions

Questions to Ask at a Nursing Home Care Plan Meeting

Ask these questions to align on goals, daily routines, safety, medical care, and dignity for your loved one.

1

What are the current care goals and how are they measured?

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Why this works

Clarifies outcomes and progress indicators beyond general wellbeing.

2

What changes have you noticed since the last review?

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Why this works

Surfaces trends in mobility, mood, cognition, or appetite.

3

How is pain assessed and managed day-to-day?

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Why this works

Ensures consistent monitoring and timely adjustments.

4

What is the plan for fall prevention and safe transfers?

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Why this works

Protects from common injuries via equipment and staffing protocols.

5

How are medications reconciled and reviewed for interactions?

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Why this works

Checks pharmacist oversight and deprescribing steps where appropriate.

6

What does a typical day look like, including activities and social time?

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Why this works

Aims for engagement, not just custodial care.

7

How are personal preferences documented (food, routines, communication)?

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Why this works

Preserves dignity and individualized care.

8

Who should we contact for updates and what is the expected response time?

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Why this works

Sets clear communication channels and expectations.

9

What is the current skin integrity plan and frequency of checks?

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Why this works

Prevents pressure injuries with proactive monitoring.

10

What rehabilitation or therapy services are in place?

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Why this works

Aligns PT/OT/ST frequency with goals and coverage.

11

How are behavioral changes handled and documented?

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Why this works

Ensures non-pharmacological approaches and family loop-in.

12

What would trigger a care plan update between meetings?

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Why this works

Defines thresholds for rapid reassessment and escalation.

Care Plan Advocacy

Expert tips and techniques for getting the most out of these questions.

Bring Docs

Recent hospital discharge summaries
Medication lists and allergy info
Advance directives or POLST

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