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My 90 yo mother has been slowly losing her vision for years but has been able to function well enough to live alone. Her vision has recently deteriorated to the point where it is no longer safe for her to live alone, so I have convinced her it is time to think about AL.


My question is, does anyone have any experience with moving a blind person into AL? I am sure she can learn to maneuver around her apartment, but will the staff help her get to the dining room/gym/etc.? Alternatively, what questions should I be asking as I am looking at facilities to know they can support her? Most facilities are focused on people with hearing loss, not so much vision loss. Thanks!

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My dad had one "good" eye which had only limited vision due to glaucoma and macular degeneration and one eye had no vision. He could see some light/dark and shadows. He moved into assisted living at 97. Like your mom he knew where everything was at his house. The move to assisted living took a little extra planning but he managed fine. He could see sufficiently to find his way around the building after making some trips with me and the staff. He only got lost once when he got off the wrong floor of the elevator. Most of his personal things were left on top of the dresser or in the top drawers and everyone was careful to put things into the right stacks - underwear on top of dresser, socks in drawer, shirts on one side of closet, pants on other side of closet, etc. Other things - the controls on the microwave, the TV remote control, etc - we marked with the rubber "dots" so he could feel the various settings. (Dots are your friend - there are different sizes and colors abut the tactile feel is the important part. Buy them and keep them handy.)

He had a talking watch and we used an Alexa to keep up with his schedule. I'd go through the activities sheet and menu at the Assisted Living and update his reminders each week so it would say "It's 3 pm. There will be music in the lobby in 15 minutes.", or "It's 5 pm. Dinner tonight is a choice of spaghetti or fried fish." It took a a bit of time but was totally worth it because you can't expect the staff to get him to all the activities. Assisted living means they need assistance and usually need to ask for it, and my dad wouldn't ask. For some appointments where he couldn't be late - a podiatrist appointment or hair/nail appointment - I'd make special arrangements to have staff come and get him but that was used very sparingly. For most things I'd just have Alexa make a couple of announcements.

The dining room staff learned he couldn't see and would lead him to a table, read him the menus, and would cut his food (after they learned it would help him but they didn't push assistance onto him.) Keep reminding staff that he can't see so giving him notes or calendars is useless. The cleaning and dining staff seemed much more aware of his needs than many of the more senior staff. My dad hid his disability quite well so people didn't "see" him as blind.

My best advice is to teach her to use the Alexa. It's great for entertainment, making phone calls, and keeping your schedule, calendar, and activities up to date. Also, get a talking watch and a talking clock. I'm sure you've seen all the low-vision aids in the catalogs. Some are useful and the watch and clock are essential (and to me, so was Alexa.) But unless she really advocates for herself, she's not going to get a lot a special assistance for being blind.

Also, feel free to PM me with any questions on how we handled any specific issues. He lived at Assisted Living until his death at 102. He walked the halls, used the elevator, went to meals, etc by himself until about the last 2 years when I paid extra for a private aide each afternoon to assist him with getting to activities, extra housekeeping to keep things neat and tidy, and to keep him socialized. She would get him down to dinner and then leave but she had one of her friends make certain he got back to his room after dinner.
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Reply to jkm999
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txdocdaughter 18 hours ago
This was incredibly helpful, thank you! I had thought about Alexa but never thought about using it for activity reminders.
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If you live in a larger city/metropolitan area, you may also find care in a care home that specializes in caring for the visually impaired. We have such a care home in St. Louis; a friend's mother went there to leave and liked it.
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Reply to Igloocar
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My mother’s assisted living facility had a few blind residents. They were escorted to meals and activities! They also had help dressing and bathing. AL is meant to help residents with daily living needs. You pay extra for level of care needed. If it does not work out then a LTC facility can handle blind residents well.
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Reply to Sadinroanokeva
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Good luck with that 🤔😔
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Reply to cwillie
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Assisted living is pretty much dependent on being independent. So assistance for your mom in learning to navigate new surroundings is going to be your biggest question and discussion with any facility you visit.

Of course there are also ADA guidelines and rules all facilities must adhere to, so be sure to bring that up when talking to them.
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Reply to my2cents
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txdocdaughter: That will depend on whether your mother is legally blind or completely blind.
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Reply to Llamalover47
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Yes, assisted living facilities can admit blind residents. They are required to provide reasonable accommodations under the Americans with Disabilities Act (ADA) and other regulations. Many facilities are experienced in supporting residents with vision impairments and may offer services like orientation and mobility training, assistive technology, and staff assistance with daily activities. You should tour potential facilities, ask about specific services for blind residents, and ensure your mother feels comfortable and safe in the environment.

Suggestions of questions to ask:

1. What experience do you have with visually impaired residents?
2. How does the staff assist blind residents with daily activities (e.g. meals, mobility, personal care)?
3. Are staff trained in communicating effectively with blind residents?
4. Are there tactile or audible cues for navigating the facility, such as raised markings or talking elevators?
5. How are hallways and common areas designed to support those with vision impairments (e.g. clear pathways, contrasting colors)?
6. Are emergency procedures adapted for blind residents and how are they alerted in emergencies?
7. Do you offer orientation sessions to help new residents learn the layout of the facility?
8. Is there mobility training available, either through the facility or outside resources?
9. Are there activities or programs accessible to blind residents, such as audio books, music, or sensory activities?
10. How do you ensure visually impaired residents can participate fully in social events and community activities?
11. Do you provide or support the use of assistive technology, like screen readers or audio devices?
12. Is printed material, such as menus and schedules, available in accessible formats (e.g., large print, Braille, or audio)?
13. How do you assist blind residents with meals, such as identifying food or navigating the dining room?
14. Are there strategies in place to help residents maintain as much independence as possible?
15. How are medications managed for blind residents to ensure safety and accuracy?
16. What is the protocol if a resident needs immediate assistance, and how do you make it accessible?

I hope this helps you find the right place for your Mom.
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Reply to HaveYourBack
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txdocdaughter Mar 3, 2025
Thank you so much! This list of questions is very helpful. I will cut and paste the list into an email to the facilities I am considering.
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My brother's ALF had many people who were "legally" blind, with very limited vision.
As you said, she is able to do many things herself. She will be needing more adjustment time, but once oriented she should do well. I would highly recommend one built on the cottage principle much like the one my brother was in in Palm Springs (Pacifica Senior Living) as it is a small place, with approximately 14 rooms built around a central area dedicated to entertainment room, small kitchenette, dining room. Front and back patio. Very senior friendly to being either in your room or out of it. They have a Facebook page if you are interested in looking around, and a web page as well, for what I mean.
Your mom would face the same qualifications any senior would; for her abilities and limitations, for her level of care, for her MD assessment.

I truly wish you good luck.
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Reply to AlvaDeer
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If you have a choice of several ALs that would be OK for visiting etc, the easiest start might be to send a duplicate letter or email to each of them, asking for their experience with blind residents. Say what M could do, what she would need help with, and whether there will be extra charges. Also check to see that they have the ability to progress her through NH and MC if necessary, as it would help in future if things can stay as ‘memorable’ as possible. That would save time for you in weeding out non-starters.

If you don’t get too far, I would find a web site for the blind (I am quite sure that there will be at least one), and ask for their suggestions. However they might not be local. Good luck!
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Reply to MargaretMcKen
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Many communities have "ambassadors" or other long time residents that will help new residents find their way about.
If this community does not have something like that you could ask that she be paired with someone or a staff person the first few weeks to get her used to the surroundings.
Does mom use Brail? If so ALL the signs in the building should have Brail signs as well. (unless we have gone that far in doing away with DEI, Diversity, Equity and Inclusion)
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Reply to Grandma1954
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ElizabethAR37 Mar 4, 2025
Yeah, can't have blind DEI now, can we?
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