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Extreme Heat: Steps for Nursing Homes and Assisted Living Centers

As temperatures climb, long-term care and assisted living facilities must take proactive measures to protect their most vulnerable residents. Elderly individuals are disproportionately at-risk during heat waves due to age-related physiological changes, chronic conditions, and medications that impair the body's ability to regulate temperature and maintain hydration.For facilities without central air conditioning, the dangers are even more pronounced. 

Administrators and caregivers should be on high alert for signs of heat-related illness, including confusion, dizziness, rapid pulse, or flushed skin. Facilities should activate contingency plans, which may include creating internal cooling centers, increasing ventilation with fans, and rescheduling physical activities to cooler parts of the day. Simple adjustments—such as dressing residents in lightweight clothing, encouraging rest in shaded or air-conditioned areas, and checking in frequently—can make a critical difference. Staff can also refer to the CDC's About Heat and Your Health or this Staying Safe in Hot Weather guide from the National Institute on Aging for visuals to post in common areas.

Hydration is one of the most effective and often overlooked tools for heat-related illness prevention. Older adults are especially prone to dehydration due to age-related changes in kidney function, diminished thirst response, and the effects of conditions like diabetes or heart failure. Dehydration is associated with increased risk of urinary tract infections (UTIs), falls, cognitive decline, and hospitalization. Hydration programs which promote routine drink offerings and hydration reminders have demonstrated marked reductions in these adverse outcomes.  Even small actions—such as offering cold, caffeine-free drinks and using hydration reminders—can make a meaningful impact. In this summer heat, ensuring elderly residents stay cool and well-hydrated isn't just good care—it's lifesaving.

These same practices can help keep your staff and team members as well. 
 
Staff contact: mcarland@mehca.org
 
 

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