Family Resources
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How Do I Know When It Is Time?

Personal Hygiene

Decreased attention to personal care
Not bathing regularly
Wearing the same clothes day after day
Difficulty getting in and out of the shower or tub
Difficulty getting on and off the toilet


Falling behind on bills
Old mail piling up
Calls from creditors
Neglecting housework, laundry and home repairs
Confining his or herself to only a few rooms in the house

Nutrition & Exercise

Skipping regular meals
Lack of food in the house
Not exercising

Memory Loss

Diminished communications skills
Repeating questions or statements
Frequently misplacing items
Trusting strangers or falling for scams
Wandering away from home

Medication Concerns

Forgetting to take medications
Running out of medications or not properly ordering medications
Holding on to expired medications

Lack of Socialization

Excessive moodiness, crying or anxiety
Insomnia or excessive sleeping
Losing touch with friends or becoming isolated
A loss of interest in regular activities
Loss of mobility


Becoming increasingly paranoid and/or fearful of others
Afraid to be alone, especially at night
Becoming increasingly dependent on family members
Believing that the neighborhood is not as safe as it used to be

The Schonberg Assessmentback>>

We often consult with families trying to determine when home is no longer enough for mom or dad. Each situation is different, but we generally encourage families to assess the following areas:

Current living environment - Is it safe for your loved one to navigate independently?

Normal ambulation - Is he/she having difficulty walking, moving around, or with falling?

Daily living habits - Is he/she having difficulty with routine needs such as dressing, grooming, bathing or taking medications?

Caregiver's Capacity - Is the constant care required of an elderly parent beyond the primary caregiver's physical capabilities?

Has the caregiver become impatient or irritable in their new role?

Social Engagement - Would ongoing activity and programming and increased social interaction and stimulation improve your loved one’s happiness and sense of wellbeing?

Quality of Life - Would placement outside the home result in more enjoyable visits and outings between your loved one and primary family caregiver(s)?

If your answer to any of these questions is yes, we can help. We invite you to contact us to discuss these issues with your loved one and to learn more about our community and what we are able to offer. We are happy to provide further insight and guidance regarding your loved one’s unique situation and needs.

Senior Resourcesback>>

Alzheimer's Association

National Association of Social workers

South Carolina

American Health Care Association

South Carolina Association of Residential Care Homes

Schonberg & Associates



1. Do you provide person-centered care?


2. What is person-centered care and how does this impact the day of my loved one?

Person-centered care is care that puts the "person" first and honors individuality.

At Marchbanks, we ask you to share extensive information about your loved one so we can conform to his or her interests, habits, and routines. We design our staffing schedules and activity program around your loved one's wants and needs. We want to know as much about your loved one as you are willing and able to share.

Example: If your loved one likes to sleep in until 9:00 a.m. and eat a light breakfast, a staff person won't be assigned to wake your loved one any earlier than 9:00 a.m. Your loved one's meal plan will reflect the request for a light breakfast, and we will make up the needed nutrition and calories at the preferred mealtime for your loved one.

3. Will my loved one be supported to be as independent as possible? If so, how is this done?

Yes. First, your loved one will receive a comprehensive assessment from our professional staff with emphasis on learning his or her cognitive abilities and potential, and identifying any other problems that impact function. Our Occupational Therapists and Speech Language Pathologists use a well-respected functional cognitive assessment method designed to discover your loved one's remaining abilities. Sometimes, a person can benefit from rehabilitation to improve upon an area of weakness. Other times, we use a habilitation approach in which we enable the person to do what is still possible by creating the "just-right level of challenge." This approach facilitates the highest level of independence and feelings of success. We know how to provide the proper supports and cues to enable individuals to do as much for themselves as possible. This is not an easy process, but we have invested in the expertise to use this state-of-the art assessment and care process so your loved one can thrive at every stage of dementia.

4. Is your staff trained in memory care? If so, how are they trained?

Yes. Our leadership has been trained by CPI's team of Dementia Care Specialists in Dementia Capable Care. We have Certified Instructors in place to train all new employees and to continue training and staff mentoring on an ongoing basis. We train our care staff and sign-off on their memory care competency and their ability to implement our model of care and philosophy.

5. What activities will my loved one be able to enjoy?

Whatever activities your loved one finds meaningful is what is represented in our group activity program and in your loved one's daily plan. We perform an extensive life story assessment to learn about your loved one's interests and preferences. We conform to your loved one. We don't ask your loved one to conform to an activity schedule that doesn't represent any of his or her interests. If a group activity isn't of interest, our entire team is trained to engage your loved one in a meaningful activity.

6. What is the living environment like?

Residents reside in households with their peers based upon their strengths and abilities. Everything about the household design, including staffing ratios and specialized training, activity and ADL care, the floor plan, and interior design, reflect important information about the peer group. The dementia stage and medical needs are two key elements that define the peer group within each household. Further, the habits, interests, and routines of the residents influence the social milieu of the household. Marchbanks "is" home. Our home environment is enriching, safe, nourishing and supportive, and customized to the residents LIVING and THRIVING in each unique household.