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Choosing Between Two Communities

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

HomeComparisonsChoosing Between Two Communities
Short answer

When two communities both seem workable, compare the all-in cost at your parent's actual care level, the three-year rate increase history, overnight staffing (not daytime), both facilities' state inspection records, and whether either holds a Medicaid waiver provider agreement your family might eventually need.

This decision comes up often enough that we cover it in full, with a step-by-step comparison process, on its own page in our situations section rather than repeating it here.

See the full comparison walkthrough →

What to ask on a tour. Ask to see the state inspection report, the memory-care disclosure/certification if marketed, the all-in cost at your parent's care level, the three-year rate increase history, and the overnight staffing ratio. Read the full explanation →

Questions families ask

What happens at an ombudsman-attended care conference?

An ombudsman advocate can sit in alongside the resident and family during a facility care plan meeting, help the family understand what's being proposed, and advocate for the resident's stated preferences if there's a disagreement with the facility's plan.

How do I report suspected abuse or neglect in a Fort Worth-area facility?

Call the Texas Abuse Hotline at 1-800-252-5400, available 24 hours a day statewide, to report suspected abuse, neglect or exploitation of an older adult. If someone is in immediate danger, call 911 first.

What's the difference between reporting to APS and reporting to HHSC in Texas?

Adult Protective Services (1-800-252-5400) investigates concerns about a specific person's safety, including self-neglect. HHSC's Complaint and Incident Intake line (1-800-458-9858) investigates a licensed facility's regulatory compliance -- staffing, physical conditions, and whether the facility followed required procedures.

Is Texas Adult Protective Services a single statewide hotline or run by county?

Texas APS runs one statewide 24-hour hotline (1-800-252-5400) rather than separate county offices with separate numbers. This is the same number whether you're calling from Fort Worth, Arlington, Burleson, or anywhere else in Tarrant, Parker, Johnson, Denton or Wise County.

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