A printed moving checklist for assisted living, neatly organized with items like medical records, legal documents, and personal belongings, symbolizing a smooth, well-planned transition.

The Ultimate Checklist: Preparing for the First Week at Assisted Living

August 12, 202511 min read


Moving a loved one to assisted living? Plan 6-8 weeks ahead, focusing on comfort items, medication, and emotional preparation. Tour the facility, take measurements, and create a detailed inventory. Sage Senior Support offers comprehensive assistance through this significant life transition.

The Ultimate Checklist: Preparing for the First Week at Assisted Living

  • Start planning 6-8 weeks before the move-in date to reduce stress and ensure a smooth transition to assisted living

  • Create a detailed inventory of essential items to pack first, focusing on comfort items and daily necessities

  • Tour the facility thoroughly and take measurements of the new living space before deciding what furniture to bring

  • Sage Senior Support offers comprehensive assistance for families handling the challenging transition to assisted living

  • Emotional preparation is just as important as logistical planning when helping a loved one adjust to their new home

Moving a loved one to assisted living marks a significant life transition that requires thoughtful preparation. With the right approach, you can transform this challenging time into a positive new beginning for your family member.

At Sage Senior Support, we've guided hundreds of families through this process and witnessed how proper planning directly impacts those crucial first days in a new living environment. This comprehensive checklist will help ensure your loved one's transition is as smooth and comfortable as possible.

What to Pack First: Essential Items for the Initial Days at Assisted Living

The key to a successful transition begins with strategic packing. Focus first on items that provide immediate comfort and maintain important daily routines:

  • Medication and healthcare essentials: A one-week supply of all medications, medical devices, and a detailed medication schedule

  • Personal care items: Familiar toiletries, hygiene products, and grooming tools they use daily

  • Clothing: One week's worth of comfortable, seasonally appropriate outfits, labeled with their name

  • Bedroom comforts: Their own pillow, a favorite blanket, and familiar bedding to make the new space feel like home

  • Important documents: Insurance cards, ID, medical records, and facility paperwork in an easily accessible folder

  • Connection tools: A charged cell phone, address book, and any devices needed to stay in touch with family

  • Familiar comforts: A few cherished photographs, a favorite book, or a meaningful keepsake to provide emotional anchoring

Pack these items in a clearly labeled overnight bag that stays with your loved one during the move. This ensures immediate access to essentials regardless of when larger items arrive.

Before You Move: Critical Preparations for a Smooth Transition

A successful move to assisted living begins well before moving day. Starting these preparations 6-8 weeks ahead minimizes stress and ensures nothing falls through the cracks.

1. Tour the community and ask detailed questions

Schedule multiple visits to the facility at different times of day to observe activities, meal services, and staff interactions. Don't hesitate to ask specific questions about daily routines, staff-to-resident ratios, available medical services, and dining options. The more you know upfront, the fewer surprises you'll encounter later.

During these visits, pay attention to how current residents interact with staff and whether the atmosphere feels welcoming. Take notes to help make final decisions and prepare your loved one for what to expect in their new home.

2. Take measurements and photos of the new space

Accurate measurements are crucial for determining what furniture will fit comfortably in the new living space. During your tour:

  • Measure all room dimensions, including doorways and hallways

  • Note the location of electrical outlets, windows, and built-in features

  • Take photos from multiple angles to reference when planning

  • Ask about any restrictions on wall hangings or modifications

Creating a to-scale floor plan can help visualize furniture arrangement before moving day, preventing uncomfortable surprises when you arrive with belongings that won't fit.

3. Create a detailed moving timeline

Working backward from the move-in date, create a week-by-week checklist that covers everything from sorting belongings to transferring medical records. Share this timeline with family members who will be helping with the move to coordinate efforts effectively.

A realistic timeline might look like this:

  • 6-8 weeks before: Begin sorting belongings and researching movers

  • 4-6 weeks before: Schedule movers and begin packing non-essentials

  • 3-4 weeks before: Transfer medical records and prescriptions

  • 2-3 weeks before: Arrange for address changes and utility transfers

  • 1-2 weeks before: Pack most items, leaving out only immediate necessities

4. Schedule movers experienced with senior relocations

Not all moving companies understand the unique challenges of senior transitions. Look for movers who specialize in senior relocations or consider hiring a Senior Move Manager who coordinates all aspects of relocating older adults. These professionals understand the emotional aspects of downsizing from a family home and can make the process significantly less stressful.

Space Planning: Making the Most of Limited Square Footage

Assisted living apartments typically offer less space than private homes, making thoughtful planning essential for creating a comfortable, functional living environment.

1. Get exact dimensions of the new living space

Beyond basic room measurements, understand the full scope of the space, including ceiling height, window placement, built-in storage, and bathroom layout. Many facilities provide floor plans with measurements, which can save considerable time during your planning process.

2. Pre-plan furniture arrangement for safety and comfort

When deciding which furniture pieces to bring, prioritize both function and emotional comfort. Select items that support independence while ensuring clear pathways of at least 3 feet for safe movement, especially if mobility aids are used. Choose multi-functional pieces when possible and include a comfortable chair in their preferred style for reading or receiving visitors.

I've found that using masking tape to mark furniture footprints on the floor of the new space before moving day can confirm your plan works and prevent day-of rearranging.

3. Consider proximity to community amenities

The location of the apartment within the larger community helps determine what personal items are necessary. Consider distance to dining areas, laundry facilities, activity spaces, and nursing stations. This information helps you make practical decisions about what to bring versus what can be accessed through community resources.

For example, an apartment near the dining area might need fewer kitchen supplies, while one farther away might benefit from a small refrigerator for snacks and beverages between meals.

Downsizing With Dignity: A Compassionate Approach

Downsizing for assisted living can be emotionally challenging, as each item often carries decades of memories and significance. Approaching this process with sensitivity is crucial for your loved one's emotional well-being.

1. Sort belongings by keep, donate, gift, or dispose

Create a systematic approach to downsizing that makes the process more manageable. Use colored stickers or tags to mark items as you work through rooms together, sorting into clear categories. This visual system helps everyone involved track decisions and progress, especially when the process extends over several days or weeks.

I've found that starting with less emotional areas like the kitchen or garage often builds confidence before tackling more personal spaces like bedrooms.

2. Focus on meaningful and practical items

When deciding what to keep, prioritize items that serve dual purposes – the armchair that's both comfortable and the perfect size, or the lamp that provides good reading light and was a gift from a dear friend. Remember that quality trumps quantity. A few cherished items often provide more comfort than numerous less meaningful possessions.

3. Involve your loved one in decisions

Although it might seem easier to make decisions without their input, involving your loved one in the downsizing process is essential for their emotional adjustment. Schedule short sorting sessions to avoid overwhelming fatigue, and listen to stories about items, even if it slows the process. This collaborative approach helps preserve dignity and provides a sense of control during a time of significant change.

4. Create digital keepsakes of sentimental items

Technology offers wonderful ways to preserve memories without keeping physical items:

  • Photograph collections, artwork, or furniture that can't be accommodated

  • Create a digital photo album of the family home and meaningful spaces

  • Record stories about special items before they're gifted or donated

  • Consider creating a memory book with photos and stories

These digital alternatives provide emotional comfort while supporting the practical needs of downsizing

Selling the Family Home: A Stress-Reducing Option for Families


For many families, downsizing into assisted living also means making decisions about the family home. The process of preparing, listing, and selling a property can add significant stress during an already emotional time. That’s why Sage Senior Support offers compassionate, flexible home buying options designed to relieve that burden.

Whether the home needs repairs, is filled with decades of belongings, or you simply need a quicker sale to fund care, our process is built around your family’s needs and timeline. We can provide a transparent, no-obligation cash offer and coordinate the entire process — from clearing out items to closing — so you can focus on your loved one’s transition.

By choosing our home buying services, families avoid the uncertainty of the traditional real estate market, skip costly repairs, and move forward with peace of mind knowing this important piece of the puzzle is being handled with care..

Document Organization: Critical Paperwork for the Transition

Proper document management ensures your loved one receives appropriate care and their affairs remain in order during and after the move.

Medical records and prescriptions

Organize healthcare information for seamless continuity of care. Create a complete medical history with dates of surgeries, hospitalizations, and diagnoses. Maintain a current list of prescriptions with dosages, frequencies, and prescribing doctors. Request digital copies whenever possible and organize paper records in a clearly labeled binder or folder.

Insurance information

Compile all insurance details including Medicare or Medicaid cards, long-term care insurance policy details, prescription drug coverage information, and other specialized coverage documents. Make copies of all insurance cards for both your records and the assisted living facility's files.

Financial documents

Gather bank account details, Social Security benefit statements, pension documentation, investment account statements, and recent tax returns. Consider setting up automatic payments for the assisted living facility and other regular expenses to simplify financial management going forward.

Legal paperwork

Ensure all legal documents are current and accessible, including durable power of attorney for healthcare and finances, advanced healthcare directives, updated will and trust documents, and HIPAA authorization forms. Store originals in a secure location and provide copies to the assisted living facility and trusted family members.

Contact information for healthcare providers

Create a comprehensive contact list that includes all healthcare providers, preferred pharmacy with prescription transfer details, therapists, and emergency contacts in order of preference. Format this information clearly for both facility staff and your loved one to reference easily.

Supporting Emotional Well-being Through Change

The emotional aspects of moving to assisted living often present the greatest challenge in the transition. Thoughtful support makes a significant difference in adjustment outcomes.

Plan regular visits after the move

Establish a visiting routine that provides reassurance without creating dependency. Schedule visits at different times to observe various aspects of daily life and consider shorter, more frequent visits initially rather than lengthy ones. Creating a calendar your loved one can reference to see when visits are planned provides something to look forward to.

Encourage participation in orientation events

Community integration proves crucial for long-term satisfaction. Attend welcome events together, review the activity calendar to identify interests, and introduce your loved one to staff and residents with similar backgrounds. Active engagement in community life correlates strongly with successful transitions.

Create familiar surroundings with personal items

Thoughtfully arrange photographs and mementos where they're easily visible. Position the bed similarly to their previous home if possible and use familiar bedding or throw pillows to create continuity. These environmental cues help bridge the gap between past and present, supporting both memory and emotional comfort.

Practice patience during the adjustment period

Understand that adjustment typically takes 3-6 months, with both good days and challenging days along the way. Listen without judgment to concerns and frustrations, and resist the temptation to "fix" everything immediately. Remember that emotional adjustment doesn't follow a straight line, and patience benefits everyone involved.

What to Expect During the First Week

The initial days in assisted living establish patterns that influence the entire transition. During this time, your loved one will experience orientation to both the physical space and new routines. Staff will conduct assessments to finalize care plans, and welcome activities will help integrate new residents into the community.

Emotions may range from excitement to anxiety, and sleep disruptions commonly occur as they adjust to new surroundings. Visiting daily but for limited periods often provides the right balance of support without hindering community integration. Be prepared to advocate if needed, while allowing staff to establish their relationship with your loved one.

With thoughtful preparation and ongoing support, the transition to assisted living can become not just a necessary change, but the beginning of a positive new chapter with opportunities for connection, appropriate support, and continued purpose.

At Sage Senior Support, we guide families through every step of the senior living transition process, ensuring both the physical move and emotional adjustment are handled with expertise and compassion.

: Logan Hassinger was inspired to start Sage Senior Support after witnessing the struggles of his wife’s parents as they cared for his wife’s beloved grandmother, affectionately known as “Mama.” Drawing on his own expertise in real estate, he founded Sage Senior Support to extend a helping hand to other families navigating similar circumstances. His company is based in Grapevine, Texas, and it services the entire Dallas-Fort Worth area.

Logan Hassinger

: Logan Hassinger was inspired to start Sage Senior Support after witnessing the struggles of his wife’s parents as they cared for his wife’s beloved grandmother, affectionately known as “Mama.” Drawing on his own expertise in real estate, he founded Sage Senior Support to extend a helping hand to other families navigating similar circumstances. His company is based in Grapevine, Texas, and it services the entire Dallas-Fort Worth area.

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