12 Questions Every Family Should Ask Before Choosing an Adult Family Home
Touring care homes can feel overwhelming. These 12 questions cut through the polish and help you see what daily life would actually look like for your loved one.

When you walk into an adult family home for the first time, your senses go into overdrive. The smell, the lighting, how the residents look, how the staff move. It's a lot to take in — and it's easy to leave a tour without remembering to ask the things that matter most.
Here are 12 questions that cut through the polish and help you understand what daily life would actually look like for your loved one. Print this list. Bring it with you. Don't be embarrassed to read from it.
About the home itself
- How long have you been licensed? Stability matters. New homes can be excellent, but a long track record is reassuring.
- What's your most recent inspection report look like? Every DSHS-licensed home has one. Ask to see it.
- How many residents do you serve? Adult family homes are capped at six, but the actual ratio of staff to residents varies a lot.
- Is there a private room available, or only shared? Privacy preferences vary, and so does the cost.
About the people
- Who lives here? Is the owner on-site? How much do family members help out? It says a lot about the culture.
- What's your staff turnover like? Consistent caregivers know your loved one. Constant turnover doesn't.
- What training do your caregivers have, especially around dementia? Specialized training matters more than you might think.
- Can we meet the caregiver who would be working with my loved one most? If they hesitate, that tells you something.
About daily life
- Walk me through a typical day. The answer should sound specific, not generic. "Whatever the residents want" is a red flag.
- What happens when someone needs more care than usual — like during a flu, or after a fall? You want to know there's a plan.
- How do you handle medications? Listen for systems and double-checks.
- What are your visiting hours and policies? You should be able to drop in often, not just on appointment.
One more thing
After you've asked your questions, sit quietly in the common area for a few minutes if you can. Watch how the staff talk to residents when they don't think they're being watched. Listen for warmth, humor, patience. The best signal of a good home isn't on a brochure — it's in those unguarded moments.
And trust your gut. You'll know.

