Free resource

The Four Signal Categories Checklist

A free, printable checklist of the signs that tell families when it is time for assisted living, memory care, or skilled nursing.

Most families do not wait too long because they do not care. They wait because nobody has told them what to look for. This checklist, built from 34 years in long-term care, sorts the signals into four categories so you can see a pattern clearly, before a crisis forces the decision for you.

What is inside the checklist

Twenty specific signals, grouped into four categories, with space to mark what you have observed:

  • Safety Signals. Falls, wandering, medication errors, driving concerns, and a home environment that has visibly deteriorated.
  • Medical and Clinical Signals. A condition with a known progression, repeated hospitalizations, unexplained weight loss, and chronic conditions that were stable now spiraling.
  • Social and Emotional Signals. Withdrawal from the people and activities that defined a life, depression, self-neglect, and changes in personality or behavior.
  • Caregiver Signals. The exhaustion, isolation, and resentment of the caregiver, the category most often missing from considerations and the one most reliably signaling that the current arrangement cannot hold.
Free download

Is it time? A free checklist for families.

Knowing when a loved one needs more care is one of the hardest calls a family makes. Enter your email and I will send you “The Four Signal Categories,” a simple checklist for recognizing when the situation can no longer hold. From Cory Fosco, author of The Question of When.

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