The Potential Drawbacks of Using National Registries for Finding Elder Care Services
- Patrice Antony, PT and Owner of Elder Advocates Inc
- Sep 13
- 4 min read
Updated: 12 minutes ago
Finding the Right Elder Care Services: Why Local Matters
Finding the right elder care services can feel overwhelming for families. With numerous options available, many people turn to national registries for help. While these registries can provide useful information, it's important to be aware of potential drawbacks before relying solely on them.
Limited Personalization
One of the main concerns with national registries is their lack of personalized care options. Every elder has unique needs and circumstances that require customized solutions. National registries often offer a one-size-fits-all approach, which may not effectively meet individual requirements.
Numerous families have expressed that they felt as if they were merely accessing a large directory with phone numbers and addresses. There’s often no one to discuss the services each place offers unless they call themselves. The representatives who do reach out seem to have limited information beyond what’s available on the care providers' individual websites. Some families reported that their personal contact information, submitted through the registry's contact page, was distributed to multiple facility providers. This resulted in a flood of solicitation calls. Instead of helping them make a decision, it only consumed their time and increased their frustration.
Quality Control Issues
Quality control differs greatly across national registries. While some registries implement rigorous standards for listing providers, others may not. This lack of consistency can lead families to select services that do not meet their expectations or, in extreme cases, put their loved ones at risk.
Without thorough vetting procedures, families may inadvertently choose facilities or caregivers who lack adequate training or experience. Opting for a local placement service or a geriatric care manager to find care for a loved one offers families not only contact information but also insights into the advantages and disadvantages of each provider's capabilities. Some will even accompany families to visit the locations and assist in negotiating prices.
Overwhelming Choices
National registries frequently present an extensive array of options, which can be overwhelming for families. Although having choices can be good, too many options can lead to decision fatigue.
Families can struggle to differentiate between providers, making it hard to choose the best fit for their loved one. The abundance of listings, reviews, and ratings can consume time and create stress. This overwhelming experience can hinder families from providing the emotional support their elderly loved ones truly need during this transition.
Lack of Local Knowledge
While national registries can offer a general overview of elder care services, they often lack detailed information about local providers. Understanding the local landscape is crucial when choosing elder care, as it enables families to identify reputable options within their community. Smaller facilities might not be listed in the registry, yet they could be the ideal choice because they can offer more personalized care due to having fewer residents. Discovering these places and understanding their offerings requires community knowledge.
Local placement services are free for families placing a loved one and provide extensive personalized information while also assisting with budget management.
Potential for Misleading Information
Families may encounter misleading information when using national registries. Listings might not always be current, meaning families could find that advertised services are either unavailable or have changed significantly. In fact, a survey found that 30% of users discovered discrepancies in online listings.
Additionally, reviews and ratings can be manipulated, leading families to make decisions based on biased or inaccurate feedback. This may result in choosing services that do not fulfill their needs.
Recently, Elder Advocates Inc. was included in a national registry Google listing without our consent. Our details were extracted from our website, and the contact information for our company was redirected to the national registry. The registry's call center then directed our potential clients to businesses/providers that had paid for those referrals. Companies that operate in this manner are not reliable sources for information to care for your parent or loved one.
Impersonal Experience
Utilizing a national registry can create an impersonal experience for families seeking elder care services. The process often relies heavily on technology, which can diminish the human connection crucial to caregiving.
Families might feel isolated from potential providers, making it difficult to establish trust. When caregivers and families do not have the chance to connect in person before a decision is made, doubts about care quality can arise. Personal interactions matter, and the absence of these can leave families uncertain about the care their loved ones will receive.
The Importance of Local Connections
Building relationships with local providers can significantly enhance the care experience. When families engage with local services, they often find that these providers are more invested in their community. They understand the specific needs of local families and can offer tailored solutions.
Local providers may also have established relationships with other community resources, such as healthcare professionals and support groups. This network can be invaluable in ensuring that elders receive comprehensive care that addresses both their physical and emotional needs.
Final Thoughts
While national registries for elder care services can provide a helpful starting point, families should carefully consider their potential drawbacks. Limited personalization, quality control concerns, overwhelming choices, lack of local knowledge, misleading information, and an impersonal experience can all impact decision-making.
To enhance their search, families should explore local resources like community organizations (such as Senior Resource Alliance or Area on Aging sources), ask for personal recommendations from trusted individuals, consult with local geriatric care managers, and visit facilities in person. Obtaining information from the right source is crucial!

Note: This publication reflects the professional experience and opinions of Patrice Antony, PT, with 44 years of experience. AI tools were used solely to assist with formatting and enhancing readability. All content was written, reviewed, and edited by the author, who takes full responsibility for its accuracy and integrity.
Patrice Antony, PT
Owner of Elder Advocates Inc.
Call (407) 951-5266 for more information