Assisted Living Checklist: What Families Actually Need to Compare

After touring 3+ communities, every family hits the same wall: how do we actually compare them? This checklist focuses on the things that matter — and the small details that quietly predict quality.
Care & Clinical
Caregiver-to-resident ratio (day / evening / overnight)
Licensed nurse coverage (on-site, on-call, or scheduled)
Care assessment process and how often plans are updated
Dementia and fall-prevention training requirements
Cost Structure
Base monthly rate and exactly what it includes
Care-level pricing — flat tiers, points-based, or à la carte
Community/move-in fee and what (if anything) is refundable
History of annual rate increases over the last 3 years
Environment
Cleanliness and odor (a key but often unspoken indicator)
Natural light and outdoor access
Apartment layout — and whether you can see an actual resident unit
Common areas: are residents in them, or are they empty during the day?
Daily Life
Sample activity calendar (look for variety and depth, not just bingo)
Dining: menu choice, table service, dietary accommodations
Transportation: medical appointments, errands, outings
Visiting hours and family involvement
The Small Things That Signal Quality
Staff who greet residents by name in hallways
Residents out of their rooms, engaged in something
Care staff who answer your questions directly instead of redirecting you to sales
A move-out policy that's clear and humane, not buried in the contract
Nurse-led senior living guidance — no cost to your family
We tour with you, ask the hard questions, and help your family compare options across Scottsdale, Phoenix, Paradise Valley, and Fountain Hills. We lean toward smaller residential assisted living (RAL) homes when they're the right fit — but we'll guide you through any setting, including larger assisted living, memory care, or independent living.
Related Resources
Written from the perspective of Mentoring Our Moments' nurse-led senior care and Residential Assisted Living consulting work. MOM supports families navigating senior living decisions and helps care home owners strengthen the systems, communication, and trust that make healthier transitions possible.