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We're stuck between two communities

The questions that break a tie once the tours all start blurring together.

Quick answer

The questions that break a tie once the tours all start blurring together.

HomeBy SituationWe're stuck between two communities

By this point you have toured enough that the buildings have merged. These are the questions that still separate them.

Short answer

The questions that break a tie once the tours all start blurring together.

What to do, in order

  1. Compare the all-in numbers, not the base rents. Ask each community for the total monthly cost at your parent's assessed care level, in writing.
  2. Compare the rate increase histories. Three years of actual increases from each.
  3. Compare overnight staffing, not daytime. Daytime ratios look similar everywhere. Overnight is where they diverge.
  4. Pull both state inspection records. Read the surveyor narratives rather than counting citations.
  5. Ask the Medicaid waiver question of both. If private funds might run out, a community that does not hold a waiver provider agreement is a future forced move.
  6. Go back unannounced. Same building, evening on a weekday.

Questions families ask

Does NYU Langone have Long Island hospital locations, and what should I know about discharge planning there?

Yes. NYU Langone operates two Long Island hospital campuses: NYU Langone Hospital-Long Island, a 591-bed medical center at 259 First Street in Mineola, formerly Winthrop-University Hospital, renamed in November 2020, home to Nassau County's only adult Level 1 Trauma Center and the NYU Grossman Long Island School of Medicine; and NYU Langone Hospital-Suffolk. As with any hospital system, discharge planning is coordinated by staff at the specific campus where a patient is admitted.

My parent just fell and is in the hospital - what's the first call I should make?

For families in Nassau or Suffolk County, the Office for the Aging in your parent's home county is a good first call - Nassau County Office for the Aging at 516-227-8900, or Suffolk County Office for the Aging at 631-853-8200. Both function as the local NY Connects access point, a free service that helps families understand care options, eligibility, and next steps after a hospital event, without any cost or obligation.

My father was just diagnosed with dementia - what should we be planning for on Long Island?

A new dementia diagnosis typically means starting to think about progressively higher levels of support: from in-home caregiving, to a Special Needs Assisted Living Residence (SNALR)-certified memory care community, to eventually possibly a nursing home. The Nassau (516-227-8900) or Suffolk (631-853-8200) County Office for the Aging can connect families to local resources and benefits counseling as needs evolve, and it's worth confirming any Long Island community marketing memory care actually holds SNALR certification via NYS Health Profiles.

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