How to Prepare for Your Loved One’s Move into a Group Home or Residential Facility

Making the decision for a loved one to move into a group home or residential facility is often not easy. Many times, it comes after years of hands-on care, advocacy, and deep consideration about what’s best for their long-term well-being. Whether your loved one is transitioning into adulthood or requires more specialized care than can be provided at home, this move can bring up a range of emotions—from relief and hope to worry and uncertainty.

Preparation is key to making this transition as smooth and as positive as possible for both your loved one and your family. While the idea of a residential move may feel overwhelming, being proactive can make all the difference. The more thoughtfully you prepare, the more empowered you’ll feel, and the more supported your loved one will be.

Let’s go over some of the most important steps you can take to prepare for your loved one’s move into a group home or residential facility, so you can approach this transition with clarity, confidence, and care.

#1—Start With the Right Support Coordinator

One of the most valuable resources during this time is your support coordinator. A trusted and experienced support coordinator helps identify appropriate residential placements, facilitates communication between families and agencies, and ensures that your loved one’s needs and preferences are reflected in every step of the process.

Remember, no question is too small or too big—this person is there to support you, answer your concerns, and make sure your loved one’s voice is heard throughout the process.

READ MORE: 5 Tips for Choosing the Right NJ DDD Support Coordination Agency 

#2—Choose a Facility That Meets Your Loved One’s Unique Needs

No two residential facilities are alike, and finding the right fit can make a world of difference. Some group homes may serve individuals with high behavioral or medical needs, while others focus on community inclusion, independent living skills, or social development.

As you research different options, consider:

• The size of the home and how many individuals live there
• The ratio of staff to residents
• Whether the environment is structured or flexible
• Daily routines and expectations
• Opportunities for recreation or day programs
• Proximity to family and community resources
• Special accommodations (e.g., wheelchair accessibility, sensory-friendly spaces, etc.)

This can feel overwhelming, but your support coordinator can help you navigate these choices by sharing their knowledge about local facilities and which ones align best with your loved one’s needs and goals. 

#3—Schedule a Visit and Meet with Facility Leaders

Once you’ve narrowed down a few options, visiting the facilities in person is crucial. Pictures and brochures only tell part of the story—what really matters is the energy of the environment, how staff interact with residents, and whether your loved one feels comfortable there.

During your visit, take note of:

• Cleanliness and safety
• Staff demeanor (Are they warm, attentive, and respectful?)
• Resident engagement (Do people seem happy and active?)
• How staff talk about their roles and responsibilities
• Communication methods between staff, residents, and families
• How emergencies or medical issues are handled

Your support coordinator can play a key role here by helping arrange visits, preparing you for what to look for, and also joining you during tours. They can guide you on what questions to ask facility leaders and help interpret responses based on their experience working with different providers.

#4—Understand the Paperwork

Transitioning to a group home or residential facility involves quite a bit of documentation, including:

• Intake forms
• Individualized service plans (ISPs)
• Medical records and history
• Behavioral support plans (if applicable)
• Guardianship documentation (if relevant)
• Financial paperwork for Medicaid or waiver programs

It’s important to go over each document carefully. You’ll want to understand your loved one’s rights, the facility’s policies, and how care and services will be delivered. If something seems unclear, ask for clarification. These documents aren’t just formalities—they set the tone for how your loved one will be cared for.

Your support coordinator can be an invaluable resource throughout this process. They can help you gather and complete necessary paperwork, explain what each document means, and ensure all forms are submitted correctly and on time. They also work closely with the facility and other agencies to coordinate your loved one’s care plan, making sure everyone is on the same page.

Having someone to guide you through this administrative side of things can take a lot of stress off your shoulders and help prevent delays or misunderstandings.

#5—Prepare Emotionally

This move is a big change, not just for your loved one, but for you as well. It’s normal to feel a mix of emotions—guilt, fear, sadness, or even relief. For many families, caregiving has been a full-time responsibility for years, and stepping back from that full-time role can feel unfamiliar or even unsettling.

Give yourself permission to feel what you feel. Seek out support from others who’ve been through the same process, whether in parent groups, online communities, or through local advocacy organizations. And remember, choosing a residential facility doesn’t mean you’re stepping away. You’re still a key part of your loved one’s life and support system.

Your loved one may also need emotional preparation. This could include:

• Visiting the facility multiple times before the move
• Talking through what will happen, using social stories or visual aids
• Allowing them to help pack or choose items for their new space
• Setting up regular visits or calls after the move
• Encouraging ongoing involvement in family life and traditions

Helping them build familiarity and trust with their new surroundings can reduce anxiety and promote a smoother adjustment.

#6—Plan for the First Few Weeks

The initial transition period can be rocky, and that’s okay. Many individuals need time to get used to new routines, people, and spaces. You might notice changes in mood, behavior, or communication. Stay in touch with staff, ask for updates, and be patient—both with your loved one and with yourself.

You can also help by:

• Creating a “comfort box” with favorite snacks, photos, music, or sensory items
• Writing out a short profile or “all about me” sheet for staff
• Reassuring your loved one that you’re still nearby and involved
• Setting realistic expectations for adjustment

Some families find that it takes a few months for their loved one to feel settled. That’s okay. The most important thing is that they are safe, respected, and supported.

You’re Not Alone in This Journey

Transitioning a loved one into a residential setting is a major milestone, full of both challenges and opportunities. But you don’t have to go through it alone. With the right guidance and heart, your family can move forward with confidence.

Preparing your loved one for a move into a group home can feel overwhelming, but you don’t have to do it alone. At Skylands, we’re here to guide your family through every step with compassion and expertise. Reach out to learn how we can help.