Severe degradation of short-term memory means that my father, an Alzheimer's elder, is seldom interested in movies or books. And, although music used to be a source of enjoyment, he no longer listens with pleasure. Left to his own devices, he sits. . .and sits. . .and sits unless he's sleeping. What to do?

As a long-term care consultant for seniors and their families we have visited many different types of facilities. But our favorite type of facility to visit is adult family homes.

There are over 2200 adult family homes in Washington State. Adult family homes have many things in common, but are each unique in their individual decor' and house size. Some are ultra fancy, some are tailored for country type folk, while some are modern and are bursting with color.

Board and Care homes (also known as RCFE's - Residential Care Facilities for the Elderly) are residential private homes that have been licensed by the Department of Social Services to provide services to seniors. Most accept no more than six residents, but offer a cozy, home-like setting for frail seniors. At least one caregiver is on the premises at all times to assist residents.

Assisted Living facilities are generally for person's 60 years of age and older. Typical candidates need assistance with "Activities of Daily Living" (ADLs), but wish to live as independently as possible. Assisted Living communities exist to bridge the gap between seniors that can live independently and skilled nursing homes.

Finding the best nursing home is easier than you might think. That is assuming there is more than one nursing home in your area so that you have something to compare. The sad part is that the best nursing home is just the one that meets your expectations better than its competitors. That doesn't mean it is a good nursing home, it might even mean that it just isn't the worst.