Find a Senior Living Place That's Just Right!

Contact us today…. Save stress, time and legwork!  ACCENT ON SENIORS will provide you with trusted information regarding senior living in California.  We also serve Arizona, Oregon, and Washington.

Our services are FREE of charge to seniors, their families and others involved in their search, serving age 60+. Younger adults are handled on a case-by-case basis. Information on over 2500+ senior living places is provided.   We understand the importance of matching a person with the right place. When you submit this form, we will then send you a detailed personalized listing.

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The * indicates a required field. Preferences * When to move: 1 - 14 days 15 - 30 days 31 - 60 days 61 - 90 days 91 - 180 days 6 months + Unsure * Type of place: (check all that apply) Retirement/ Independent      (no care needed) Assisted Living (16+ residents) Board & Care (3-15 residents) Alzheimer's/Dementia Facility Secured Facility(for wanderers) Respite Care (short-term stay) Skilled Nursing Facility * Room type: Studio 1-Bedroom 2-Bedroom * Willing to share a room/unit? (if budget conscious) Yes    No Amenities and Services: (check all that apply) Activities Computer room Gym Kitchenette Pet - cat Pet - dog Pool Religious services Resident parking Smoking Transportation Walk-in shower * Cities to move to: We serve California, Arizona, Oregon and Washington states only! (list up to 10 in priority order) 1: 6: 2: 7: 3: 8: 4: 9: 5: 10: The Senior's Information * First Name: * Last Name: * Age: Gender: Male Female * Currently living at: Assisted living facility Board and Care Family/friends Hospital Own home/apartment Own home/apt w. care services Retirement home Skilled Nursing Facility Other If in a facility, which one? * City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY NON-US Other: i.e. Canada, etc. * Monthly budget: (Note: We don't set the prices! Select your maximum budget) Cost not an issue $4100 + $3600-$4000 $3100-$3500 $2600-$3000 $1900-$2500 $1300-$1800 $900-$1200 SSI Rate (Shared room only) Under $900 Medi-Cal (Skilled Nursing Home) Medicare (Skilled Nursing Home) If you are unsure of the costs click here. * Health issues: (select all that apply) Alzheimer's Bi-Polar Disorder Diabetic (controlled by diet) Diabetic (needs injections done) Diabetic (oral) Diabetic (self-injects insulin) Dementia Depression Heart Disease Macular Degeneration Obesity Parkinson's Pulmonary disorder Schizophrenia Stroke No Health Issues Other List other health issues: (500 characters max) * Assistance: (check all that apply) Bathing Dressing Escort Feeding Incontinence care - bladder Incontinence care - bowel Medication management Toileting Wheelchair transfers No assistance * Walking ability: (check all that apply) Bedridden Cane Electric scooter Risk for falls Uses walker Walks unaided Wheelchair bound Wheelchair for distance If Alzheimer's/Dementia: (check all that apply) Confusion Agitated Evening agitation mostly Forgetful Physically combative Unmanageable behaviors Verbally combative Wanderer Needs and conditions: (check all that apply) Hearing impaired IV Ostomy care Oxygen Sight impaired Speech impaired Tracheotomy Tube fed Ventilator Wound care No other needs Other * Is the person on hospice or dying? Yes    No List other needs here: (500 characters max) 2nd Occupant's Information (If none, scroll down to "Your Information" section) First Name: Last Name: Relation to Senior: Brother Brother-in-law Daughter Daughter-in-law Friend Husband Sister Sister-in-law Son Son-in-law Wife Other Age: Gender: Male Female Willing to share a room/unit? Yes    No Monthly budget: (List additional $$ available for 2nd occupant) Cost not an issue $4100 + $3600-$4000 $3100-$3500 $2600-$3000 $1900-$2500 $1300-$1800 $900-$1200 SSI Rate (Shared room only) Under $900 Medi-Cal (Skilled Nursing Home) Medicare (Skilled Nursing Home) If you are unsure of the costs click here.  Health issues: (select all that apply) Alzheimer's Bi-Polar Disorder Diabetic (controlled by diet) Diabetic (needs injections done) Diabetic (oral) Diabetic (self-injects insulin) Dementia Depression Heart Disease Macular Degeneration Obesity Parkinson's Pulmonary disorder Schizophrenia Stroke No Health Issues Other Assistance: (check all that apply) Bathing Dressing Escort Feeding Incontinence care - bladder Incontinence care - bowel Medication management Toileting Wheelchair transfers No assistance Walking ability: (check all that apply) Bedridden Cane Electric scooter Risk for falls Uses walker Walks unaided Wheelchair bound Wheelchair for distance If Alzheimer's/Dementia: (check all that apply) Confusion Agitated Evening agitation mostly Forgetful Physically combative Unmanageable behaviors Verbally combative Wanderer Needs and conditions: (check all that apply) Hearing impaired IV Ostomy care Oxygen Sight impaired Speech impaired Tracheotomy Tube fed Ventilator Wound care No other needs Other Is the person on hospice or dying? Yes    No List other needs here: (500 characters max) Provide a summary of the 2nd occupant's health issues and care needs below. Your Information * First Name: * Last Name: Relation to Senior: Brother Brother-in-law Conservator Daughter Daughter-in-law Friend Husband Granddaughter Grandson Nephew Niece Power of attorney Self Sister Sister-in-law Social worker Son Son-in-law Wife Other If other, please specify: * Address: * City: * State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY NON-US * Zip: * Daytime Phone: ( ) - Home Phone: ( ) - Cell Phone: ( ) - Work Phone: ( ) - Fax: ( ) - * E-mail: Other Information * Would you like brochures sent by the facilities? Yes    No * May they contact you by: (Check all that apply) Hint: If a telephone number is allowed you will find out about availability and specials. Home Phone Cell Phone Work Phone Email Fax * How did you find Accent on Seniors? Former client Friends and/or family Hospital Internet Newspaper Physician Social worker Senior center Yellow pages online Yellow pages book Other If other, please describe: If referred by a person, whom may we thank? * Have you have seen or contacted any facilities within the last 6 months? Yes    No (If "Yes" please list these facilities.) 1: 6: 2: 7: 3: 8: 4: 9: 5: 10: Other pertinent information: (Interests? Hobbies? What makes them smile? Tell us about them as a person.)

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