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Subject: 🏡 Choosing the Right Assisted Living — Levels of Care Explained

Stuck in the Middle — Issue 214

Thursday, September 15, 2025

👋 Welcome, New Readers!
If someone forwarded this to you — hi 👋 You’re welcome here. To get every issue delivered directly, reply SUBSCRIBE to this email.

🧠 Big Thought

Choosing an assisted living community isn’t just about comfort — it’s about planning for change.

The care someone needs today may not be what they need six months or a year from now. The best communities clearly define levels of care, explain costs upfront, and have a plan for transitioning as needs increase.

Understanding these levels now will help you:

• Ask the right questions during tours

• Avoid surprise fees

• Ensure your loved one isn’t forced to move unexpectedly later

When you know what each level of care includes, you can make confident decisions that bring peace of mind for everyone involved.

🧰 Money Moves: Step-by-Step Checklist

Here’s a free, verified guide to choosing the right assisted living community:

1. Start with trusted government resources.
   Learn what to expect and how facilities are regulated by reading the NIH guide:
   https://www.nia.nih.gov/health/assisted-living-and-nursing-homes/how-choose-nursing-home-or-other-long-term-care-facility

2. Understand the different levels of care.
   Basic, intermediate, and advanced levels each have different services and pricing.
   https://www.aplaceformom.com/caregiver-resources/articles/assisted-living-levels-of-care

3. Download a facility tour checklist.
   This helps you compare communities side by side:
   https://www.elderlawanswers.com/checklist-choosing-an-assisted-living-or-continuing-care-facility-12147

4. Check state-level licensing and oversight.
   Look up assisted living rules in your state to ensure facilities meet all legal requirements:
   https://www.nia.nih.gov/health/assisted-living-and-nursing-homes/long-term-care-facilities-assisted-living-nursing-homes

5. Compare costs carefully.
   List what’s included in the base price vs. what costs extra as care needs rise.

6. Visit facilities in person.
   Observe daily life, staff interactions, safety measures, and meal quality.

7. Talk to staff and residents.
   Ask: What happens if my loved one’s care needs increase?
   Make sure there’s a clear transition plan.

🛠️ Tool of the Week

NIH/National Institute on Aging — Long-Term Care Guide
A detailed, free guide that walks you through questions to ask, differences between assisted living and nursing homes, and what to expect financially and emotionally.
https://www.nia.nih.gov/health/assisted-living-and-nursing-homes/how-choose-nursing-home-or-other-long-term-care-facility

📰 Reads: Free, Verified Articles

• Understanding Assisted Living Levels of Care
  A breakdown of basic, intermediate, and advanced care levels so you can match services to your loved one’s needs.
  https://www.aplaceformom.com/caregiver-resources/articles/assisted-living-levels-of-care

• Checklist for Choosing an Assisted Living or Continuing Care Facility
  Print this before you visit communities so you don’t miss key questions.
  https://www.elderlawanswers.com/checklist-choosing-an-assisted-living-or-continuing-care-facility-12147

• Long-Term Care Facilities Overview — NIH
  A trusted source for understanding facility types, licensing, and regulations.
  https://www.nia.nih.gov/health/assisted-living-and-nursing-homes/long-term-care-facilities-assisted-living-nursing-homes

🤝 SKOOL COMMUNITY

Caregiving is easier when you don’t do it alone.
Join our Stuck in the Middle SKOOL Community to connect with others who get it:

https://www.skool.com/stuck-in-the-middle-community-1730/about?ref=4956bcfb588b4962b89c23002360ff83

💬 Connect With People Who Get It

Caregiving can feel isolating — and so can relationship stress.
Join our private Facebook group to talk to others who truly understand.

👉 https://www.facebook.com/groups/stuckinthemiddlenews

💸 TOOLS YOU CAN USE

When you’re feeling overwhelmed, grab our “What Can I Let Go Of?” checklist — only $9.99.
It helps you quickly figure out what roles and responsibilities are essential, and which ones you can delegate or release.

Get it here:
https://briansacks.samcart.com/products/sandwich

💬 Reply

What’s one thing you wish you had known before you started searching for assisted living options?

Hit reply and share — your insight may help another reader in the same situation.

↗️ Share the Relief

If this issue brought you clarity, forward it to someone who needs it.
You might help them make a better, less stressful decision.

THIS IS ONE OF THE MOST IMPORTANT BOOKS YOU CAN READ IF YOU ARE FRUSTRATED WITH A PARENT OR OLDER RELATIVE

grab a copy here https://amzn.to/3QIhlx7

If you are in this situation I think you will enjoy it!