"What is your staffing ratio at 2:00 AM on a Sunday?"
Most facilities boast about their daytime averages. But nights and weekends are when neglect often happens. Ask for the specific headcount of RNs and CNAs during the quietest hours.
"What percentage of your staff is 'Agency'?"
Agency staff are temporary workers. While they are qualified, they don't know the residents' habits, quirks, or medical history. A high percentage of agency staff often indicates low morale and high turnover.
"Can I talk to a family member of a current resident right now?"
A great facility has nothing to hide. If they hesitate or only want you to talk to "pre-approved" references, that’s a red flag. Check the common areas and speak to families you see visiting spontaneously.
"How did you address the F689 citation from 2024?"
**The Auditor's Move**: Use our search to find their specific citations before you go. Asking about a specific violation shows them you are an informed advocate and forces them to explain their improvement plan.
"Can residents eat on their own schedule, or is it strictly 7-12-5?"
Rigid schedules are often about the staff's convenience, not the residents' health. Look for "person-centered" care where a resident can get a snack or a meal whenever they are hungry.
"What is your turnover rate for CNAs?"
CNAs (Certified Nursing Assistants) do 90% of the hands-on care. If the CNAs are leaving every 6 months, your loved one will never have a consistent caregiver who knows their needs.
"How many falls occurred on this floor last month?"
Don't accept "we don't have many." Ask for the number. Every facility tracks this data. Honesty about their fall rates is better than a vague "we're very safe."
"How do you communicate with families during a non-emergency?"
Everyone calls for a fall. But will they call you if your dad didn't eat lunch or seems a bit more confused than usual? Ask for their "Progress Report" policy.
"Who owns this facility?"
Is it a local non-profit or a multi-state private equity group? Ownership often dictates whether the facility prioritizes "Patient Care" or "Profit Margins."
"Can I see the kitchen?"
If they say no, turn around and leave. The kitchen is the hardest part of a nursing home to keep clean and organized. If they aren't proud of it, there's a reason.
Ready to Audit a Facility?
Use our free search to get the "Internal Record" of any nursing home in Texas before you step foot in the lobby.