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Salt Lake County, Utah · free family worksheet

Care costs & hospital-discharge checklist

Print this page or save it as a PDF. Fill it with the written answers from each community and your discharge team. Worksheet and official-resource wording reviewed October 8, 2026; this is not a current-price verification or an admission guarantee.

Compare itemized written quotes

Use one column per community. Leave an unknown amount blank and mark the total incomplete. Write 0 only when the charge is confirmed as included.

Line itemCommunity ACommunity BCommunity C
Community and quote dateInclude the room and the person providing the quote
Base rent and included servicesMonthly amount
Care-level chargeBased on the care assessment
Medication managementAmount or confirmed included
Supplies, escorts and other monthly chargesList every recurring charge
All-in monthly totalLeave incomplete until every line is confirmed
One-time fees and depositsSeparate refundable and nonrefundable amounts
Rate-change and refund termsAsk what can change and how much notice is required

Questions about Utah benefits

Ask the official program to confirm eligibility, enrollment, services covered and your remaining costs.

  1. Could Medicaid help with long-term care?

    Utah Medicaid requires both financial and medical eligibility. Ask the program to assess the situation rather than treating this checklist as an eligibility decision.

  2. Already living in an eligible licensed institutional setting?

    Ask about New Choices Waiver. Current-setting, minimum-stay and nursing-facility-level-of-care requirements apply; community services depend on eligibility and assessed needs.

  3. Age 65 or older and asking about support in the community?

    Ask the Area Agency on Aging about the Aging Waiver referral and assessment. Program spaces and services are limited.

  4. Considering a particular assisted-living community?

    Ask the program and the community to confirm enrollment, which services are covered and what rent, meals or other costs remain your responsibility.

Keep control of your inquiries

  • Before submitting any inquiry, read who may contact you and who receives your information.
  • Ask: “Please use email for this question. Do not call or text unless I ask.” Keep a copy of the consent you give.
  • Ask how a service is paid and whether its suggested communities cover all local options.
  • Check the license, care fit and quote yourself. A recommendation does not replace those checks.

Official lookup and coverage links

Choose a setting that can meet the care plan

Assisted living

Ask which daily activities staff can assist with, what happens overnight and what care needs the license and staffing can support.

Residential care home

A smaller setting may suit your relative. Confirm licensed capacity, awake overnight coverage and backup staffing.

Memory care

Ask about exit-seeking, supervision, staff training and how the team handles changes in behavior or mobility.

Skilled nursing or rehabilitation

Ask the clinical team whether licensed nursing or rehabilitation is needed. Use Medicare Care Compare for certified nursing homes.

When a hospital discharge is approaching

Use these questions when decisions feel urgent, including a 48–72-hour discharge window. This checklist does not establish a deadline, extend a hospital stay or guarantee an admission.

  1. 1.

    Ask what care is needed next

    Ask the treating team for the written care plan, mobility needs, medication list and support needed during the night.

  2. 2.

    Write down the expected discharge time

    Keep the discharge planner's name and callback number. Ask what must be arranged before your relative leaves.

  3. 3.

    Raise any concern about the plan

    Tell the treating team if the proposed setting cannot meet a need. Ask about alternatives and the hospital's review or appeal process if you disagree.

  4. 4.

    Confirm the care setting with the clinical team

    Ask whether assisted living, home support or skilled nursing can meet the care plan. A vacancy alone does not establish a safe fit.

  5. 5.

    Ask Aging Services about local support

    Ask Salt Lake County Aging & Adult Services or the Area Agency on Aging about caregiver resources and any services available while you arrange care.

  6. 6.

    Look up the Utah license and compliance history

    Use Utah DHHS's facility search for each proposed community. Request older or missing reports; no visible report is not proof of a clean history.

  7. 7.

    Check certified nursing-home records

    If skilled nursing is proposed, use Medicare Care Compare for inspections, staffing and ratings. Assisted living does not use this nursing-home rating system.

  8. 8.

    Request an itemized care assessment and quote

    Ask each setting to assess the same care needs. Record rent, recurring care charges, one-time fees and what is included.

  9. 9.

    Confirm admission timing and limits

    Ask whether the setting can accept the proposed date and care needs, which documents it requires and what would prevent admission.

  10. 10.

    Check coverage with the insurer

    Ask about authorization and covered skilled or medical services, plus your share of costs. Medicare does not cover long-term custodial care.

  11. 11.

    Check Utah benefits directly

    Ask Utah Medicaid or your Area Agency on Aging which program applies, what is covered and whether enrollment is available. Do not assume a waiver will be ready for discharge.

  12. 12.

    Confirm the handoff before leaving

    Confirm transport, medications, equipment, the receiving contact and who will help on arrival. Keep the written plan and phone numbers together.

Three questions for a community visit

  1. How many caregivers are scheduled during the day and overnight, and how are absences covered?

    Ask for the staffing that applies to your relative's unit and needs.

  2. What is the complete monthly charge after the care assessment, and which lines can increase?

    A starting price cannot show the full bill or future rate-change terms.

  3. Which changes in care needs could require a move, and what notice and refund terms apply?

    Read the agreement before committing to a setting.

Confirm care fit with the clinical team, prices and contract terms with the community, and benefits with the relevant program. Haven's family tools are free; participating communities may pay a placement fee. Using this worksheet does not submit an inquiry or send your information to a community.