A family can have the problem for months and still have no decision. The sign is not a crisis. It is a set of small, repeated delays. This guide names those delays so a household can tell whether it is still planning or has been postponing.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

Signs the decision has stalled

  • The same question about whether help is needed comes up on each family call, worded a little differently.
  • A folder holds agency brochures and website printouts, but no call has been placed.
  • A task such as gathering documents or asking for a visit goes to whoever has the least on their plate, and no one writes down an owner.
  • A decision date is set, then moved, with no new fact behind the move.
  • Help is being covered by favors that have no end date and no backup name.

What a decision needs on one page

Write one page with three lines: who decides, who makes each call to an agency, and the date the family will meet to decide. Under those lines, list the questions the family will ask and the public-file checks it will run. Editorial note: the rankings on this site are a starting list, not a decision. A rank is not a check, and a name or a star cannot stand in for the lookups and the questions.

When to start the checks

Start the public-file checks once the page is written and the family has agreed on who decides. The desk's guide to the five lookups shows how to run them: How to check any home health agency in five federal lookups.