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Choosing a long-term care provider is an important, expensive decision. Like test-driving a car, unannounced visits can provide helpful insight. 

So what should someone do before a “walk-in” visit?

Wisconsin Watch asked two experts to weigh in:

• Devon Christianson, director of the Aging and Disability Resource Center of Brown County. 
• Mike Pochowski, president and CEO of the Wisconsin Assisted Living Association. 

Here’s what they recommend: 

Start with a scheduled tour. The person giving tours likely has important information about a facility’s care and costs. The state health department provides a guide for comparing assisted living providers, and the federal government has a similar guide for nursing homes. ADRCs can also help people prepare for tours. 

Ask about “walk-in” visits. Facility staff might list certain times that are not ideal or explain security concerns, especially in a facility that offers memory care. But if the answer is an absolute no, that is something to consider when comparing providers.

Be transparent. The goal of drop-in visits is not to catch a provider doing something bad. Prospective residents or their family members should tell staff who they are and go through the normal guest registration process. 

Be respectful. Nursing and assisted living facilities are people’s homes. Visit at a reasonable time and stay in common areas. 

Ask residents and their families if they would be open to talking, Christianson said. Don’t base your decision around one resident’s experience. Use these conversations as a tool to help inform your decision. 

This article was inspired by a reader sharing an experience touring facilities for a loved one. Do you have something to share? Please reach out.

Can you tour long-term care facilities without an appointment? is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Wisconsin has thousands of assisted living providers. Some are small houses; others are more like apartment complexes. Some take Medicaid, while others require residents to pay out of pocket. It’s a lot to sort through, especially when someone needs care fast. 

Searching “assisted living” on Google pulls up several pages of facilities, many listed under a prominent “sponsored results” section.

Mixed in with actual providers are referral companies that promise a way to compare options. Long-term care referral companies don’t typically charge families for their services. Instead, they often receive money from facilities they recommend.

Wisconsin lawmakers in May proposed legislation to make any financial relationships between a referral agency and an assisted living facility clearer. 

Supporters of the bill said disclosure requirements could help families make more informed decisions. Opposing the bill, referral companies argue that they are already transparent and that proposed guardrails would prevent them from helping more families. 

The bill failed to pass before the Assembly adjourned last month. But the debate left me wondering: Where should someone start the search for care?

Aging and disability resource centers

Aging and disability resource centers (ADRCs) can provide objective provider lists for free, alongside information about services and payment options, said Janet Zander, the advocacy and public policy coordinator with the Greater Wisconsin Agency on Aging Resources, Inc. 

The Wisconsin Department of Health Services lists ADRCs by county online. 

ADRCs cannot recommend one facility over another, Zander said. But they can suggest what to look for during a tour. Zander also recommends looking at a facility’s Wisconsin Division of Quality Assurance surveys.

They can also help people identify what kind of care makes the most sense and explore aging at home, said Sara Tribe Clark, the director of the Eldercare Locator, which offers local resources for older adults, people with disabilities and caregivers. 

If you work with a referral agency, ask questions

Tribe Clark recommends asking:

• Do you receive compensation from the providers you recommend?
• Are your referrals limited to certain facilities?
• How do you determine which providers to suggest? What is the criteria for inclusion/exclusion?
• Are there providers in my area that you do not represent?

We want to answer your questions

Getting answers to my own questions is a perk of being a reporter. But I haven’t yet navigated Wisconsin’s aging and disability resources for myself or a loved one. I know I’m missing important questions, so please send me yours, alongside your perspectives.

What has been confusing or frustrating about finding care?

What do you wish you’d known sooner?

What made the process easier?

Even after more than two years reporting on long-term care in Wisconsin, I won’t have all the answers. But I will find experts who do. Email me at acostello@wisconsinwatch.org or call 608-616-5239.

Finding long-term care is hard. Here’s how to start. is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.