The first days in a nursing home can be disorienting — for both the resident and the family. Knowing what to expect makes the transition smoother and helps you advocate effectively from day one.
The Admission Process
Upon admission, expect:
- A nursing assessment to establish baseline health status, current medications, and care needs
- A fall risk assessment and skin assessment (to document any existing pressure injuries or skin conditions)
- Cognitive screening
- A review and reconciliation of all current medications
- Completion of admission paperwork including the admission agreement, advance directives, and HIPAA authorizations
The First 14 Days
Within 14 days of admission, federal law requires the facility to complete a comprehensive assessment and develop an individualized care plan. You and your loved one have the right to participate in this meeting. The care plan documents specific goals, the care routines that will be followed, and who is responsible for each aspect of care.
Daily Life in a Nursing Home
A typical day includes:
- Morning care (bathing, dressing, grooming) — scheduled based on resident preference
- Meals in the dining room or room (3 meals plus snacks)
- Therapy sessions (for rehab residents) — typically 1–3 hours/day
- Activities and social programming (bingo, music, exercise groups, outings)
- Medication administration — typically 2–4 times daily
- Evening care and bedtime preparation
What Family Members Should Do
- Visit frequently — residents with regular family visitors consistently receive better care
- Attend all care plan meetings (every 90 days at minimum, or after any significant change)
- Review monthly bills carefully and question unfamiliar charges
- Introduce yourself to the nursing staff and build relationships
- Know your loved one’s rights and the facility’s grievance process