Tuesday, March 18, 2025
Making the decision to move a family member into assisted living is often difficult, but what happens when they decide they want to leave? Whether due to homesickness, dissatisfaction, or a decline in health, navigating this conversation requires patience, understanding, and careful planning.
According to Next Avenue, many older adults express a desire to leave assisted living, whether due to a longing for home, financial concerns, or adjusting to a new environment. However, moving them without a clear plan can create more challenges than solutions. The key is to determine whether leaving is the right decision and explore the best options for care.
If you’re facing this situation, here’s how to handle it thoughtfully while ensuring your loved one’s well-being.
Before making any decisions, it’s important to understand the reasons behind their request. A study from the National Institute on Aging (NIA) found that seniors who struggle with social isolation, loss of independence, or dissatisfaction with care are more likely to feel unsettled in assisted living.
Common reasons for wanting to leave include:
- ? Homesickness and emotional adjustment issues
- ? Concerns about care quality or lack of personal attention
- ? Financial worries about the cost of assisted living
- ? Desire for more independence and control over daily life
Listening to their concerns without immediate judgment can help you identify whether these issues can be resolved within their current facility or if a transition is truly necessary.
1. Evaluate the Quality of Care
If your loved one is unhappy with their care, it’s essential to determine if their concerns are valid. The National Consumer Voice for Quality Long-Term Care provides resources for evaluating senior living facilities and filing complaints if care is inadequate.
Steps to Take:
- ? Schedule a meeting with facility staff to discuss specific concerns.
- ? Observe their daily care and interactions with staff.
- ? Request a reassessment to see if their care needs have changed.
If care quality is the issue, switching to a different assisted living facility may be a better option rather than moving back home.
2. Address Social Isolation and Emotional Well-Being
Many seniors struggle with loneliness in assisted living. The Centers for Disease Control and Prevention (CDC) states that social isolation can lead to depression, cognitive decline, and worsening health conditions.
Ways to Improve Social Engagement:
- ? Encourage participation in community activities or hobby groups.
- ? Set up regular visits or virtual calls through apps like GrandPad or Skype.
- ? Hire a companion caregiver through Care.com to provide additional social support.
3. Explore In-Home Care Options
If your loved one is determined to leave, home care may be an alternative that provides the necessary support while allowing them to remain in a familiar environment. The AARP Home and Community Preferences Survey found that 77% of adults over 50 prefer to age in place rather than in an assisted living facility.
How to Transition to Home Care:
4. Review Financial Implications
Assisted living is expensive, but moving back home can also come with significant costs. The Genworth Cost of Care Survey states that in-home care costs can rival assisted living expenses, depending on the level of support needed.
Steps to Review Finances:
- ? Compare costs of assisted living vs. in-home care with a financial advisor.
- ? Explore long-term care insurance benefits to cover home care costs.
- ? Check Medicaid eligibility for home care services (Medicaid.gov).
If it’s determined that your loved one cannot safely leave assisted living, it’s important to help them adjust and find ways to improve their experience.
How to Help with the Transition:
- ? Personalize their space with familiar decorations, family photos, and comfortable furniture.
- ? Encourage friendships within the community by arranging small social gatherings.
- ? Advocate for better care by staying in regular communication with staff.
1. Have an open conversation with your loved one about their concerns.
2.Assess their level of care needs with a healthcare provider.
3.Explore alternative care options such as home care or a different facility.
4.Review financial resources to ensure long-term sustainability.
5.Work with facility staff to address any issues and improve their experience.
When a family member wants to leave assisted living, it’s crucial to balance their emotional well-being with their practical care needs. By listening to their concerns, exploring solutions, and making an informed decision, you can ensure that they receive the best care possible—whether at home or in a supportive facility.
Have you faced this situation with a loved one? What solutions worked for your family? Join the conversation and share your experiences in our community: https://agebrilliantly.org/forum/.
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Phone: 800-493-1334 • www.AgeBrilliantly.org • Fax: 646-478-9435