When it comes to placing a loved one in a nursing home, emotional considerations can often overshadow legal and financial aspects. However, it is crucial to understand the terms of the nursing home contract in order to protect your family’s interests and ensure that your loved one receives the appropriate level of care.
Understand the Scope of Services
Before signing any nursing home contract, it’s essential to understand exactly what services are included. Some facilities offer all-inclusive pricing, while others charge separately for things like medication management, therapy, or personal care assistance.
Make sure the contract clearly states:
- Room and board
- Medical and personal care services
- Rehabilitation therapies
- Emergency response procedures
If any of this information is unclear or missing, please ask for clarification before proceeding. It is also recommended to consult an elder law attorney for further guidance.
Review Payment Terms and Financial Obligations
Nursing home care can be costly, and contracts can contain clauses that may surprise you with additional costs beyond your initial expectations. It’s important to carefully review the following aspects of a contract:
- Monthly fees and payment plans
- Conditions for rate increases
- Refund policies
- Whether Medicaid is accepted by the facility
Some contracts also may require third-party guarantees or impose liability on family members, which can have long-term financial consequences. Therefore, it’s crucial to thoroughly understand these provisions before signing a contract.
Know Your Rights and Termination Policies
It’s not unusual for residents or their families to need to cancel a nursing home contract due to medical reasons, dissatisfaction with the care, or financial difficulties. Before signing the contract, it’s important to carefully review the termination clause.
Here are some key points to check:
- Notice requirements for leaving the facility
- Any exit fees or penalties
- What happens if the resident dies
Understanding these terms will help you ensure that you’re not locked into an agreement without options.
Be Aware of Arbitration Clauses
Many modern contracts for nursing homes include mandatory arbitration clauses. These clauses prevent residents or their families from taking legal action against the facility in court and instead require disputes to be resolved through private arbitration, which often benefits the institution.
If you are uncomfortable with this, you may be able to negotiate the removal of the clause or choose a different facility. An experienced elder law attorney can help you understand your rights and guide you through this process.

Evaluate Liability and Negligence Protections
Unfortunately, elder abuse and neglect can happen in some care facilities. To protect yourself, make sure the contract doesn’t overly limit the facility’s liability in case of negligence or wrongdoing. Also, inquire about their history of complaints and violations.
Find out about the facility’s insurance coverage to ensure they have adequate protection for residents in case of an injury or accident.
Plan Ahead with Legal Guidance
Signing a nursing home contract not only affects your loved one, but it can also impact your family’s financial future. That’s why it’s wise to consult with an elder law attorney before committing to anything.
L. Jennings Law helps clients in Little Rock and Magnolia, as well as throughout Arkansas, review contracts, plan for long-term care, and protect assets. Our team ensures you make informed, legally sound decisions that promote your family’s well-being.
We assist clients whether they’re preparing for the future or dealing with an immediate need. Our goal is to help you create and preserve your legacy. Contact us today to schedule a consultation and find out how we can help you make confident, informed decisions about your loved one’s care.