10/27/2026
A loved one needs assisted living or nursing home care. Where do you start?
A fall, illness, or changes in memory can leave families facing difficult decisions quickly. These five steps can help:
1️⃣ Understand the level of care needed.
Talk with your loved one’s medical team about their needs. Assisted living, memory care, rehabilitation, and nursing home care offer different services. Include your loved one in the conversation whenever possible.
2️⃣ Visit facilities and ask questions.
Ask about staffing, meals, activities, safety, and how changing care needs are handled. Get a written breakdown of costs — including services that cost extra. Take the contract home and review it to make sure no provisions make you personally responsible for the bill.
3️⃣ Gather important documents.
Locate powers of attorney, insurance policies, income information, bank statements, and estate planning documents. Make sure the appropriate people have authority to help with healthcare and financial decisions.
4️⃣ Understand how care will be paid for.
Review income, savings, long-term care insurance, and potential benefits. Medicare generally does not pay for ongoing custodial care. Medicaid eligibility and coverage depend on the individual’s circumstances and care setting.
5️⃣ Speak with an attorney who focuses on elder law before making major financial moves.
A general practice attorney may handle wills and other legal matters, but long-term care planning requires specific knowledge of Medicaid eligibility, asset protection strategies, and the financial needs of a spouse who remains at home. Look for an attorney who regularly handles these issues.
Before giving away money, transferring a home, or cashing out assets, get advice about how those decisions could affect benefits and your family’s financial security. Even when care is needed now, planning options may still be available.
You don’t have to navigate these decisions alone. Elder Law Attorney Tiffanny H. Sievers and SI Elder Law can help you understand your options, review your legal documents, and develop a plan for the next stage of care.
Call 618-997-3500 to schedule a free consultation. Located in Marion, we serve clients throughout Illinois.