Even in the best of circumstances, finding a nursing home for a parent or loved one is an emotional task that takes research and perseverance. Instances of New York City nursing home neglect and abuse are common. Finding a pleasant home with adequate and caring staff and solid medical practices is essential.

The New York Times has published an informative piece to assist those making the transition to managed care for an aging family member.

Unfortunately, the typical nursing home search is made under stress -- 60 percent of admissions come from hospitals -- taking the time to do some advance planning can make a big difference.

"Hospitals ought to be more aware, but it often is just not on their radar screen whether they are sending a patient to a good nursing home or a bad one," said Janet Wells, director of public policy at the National Consumer Voice for Quality Long-Term Care, told the Times.

And what can begin as a temporary stay can often become permanent and can sometimes depend, at least in part, on the quality of care a loved one is receiving in a chosen nursing facility.

Cost is another factor, with the price of an average stay at $200 a day, not counting additional fees for specialized services like the care of Alzheimer's patients.

The Times recommends the following steps in searching for a quality New York nursing home:

START WITH THE DATA: Every year the Centers for Medicare and Medicaid Services collect data on more than 15,000 nursing homes throughout the country. The information is used for ranking homes with a 1 to 5 star system. To conduct your search, go to medicare.gov and click on the "nursing home compare" tool.

The site also offers other resources, including Medicare's Guide to Choosing a Nursing Home.

Keep in mind that government rankings have their limits, and they reflect the nursing home's performance during only a short period.

VISIT, THEN VISIT AGAIN: There is no substitute for what you see, hear and smell when you visit a nursing home. Visit at different times of the day and days of the week. Ask to speak to those in charge and beware if you are put off by the request.

WHAT TO ASK : Two movements within the nursing home industry can be a sign of quality care, "person-centered care," and "consistent assignment."

Person-centered care allow residents to set their own schedules, including waking, eating and other activities.

Consistent assignment simply means that the same staff members -- doctors, nurses, aides -- treat the same patients each shift. The continuity of care reduces errors or problems and helps residents and staff members to develop a lasting relationship that can significantly improve a resident's emotional well-being.

TURNOVER: Ask what percentage of staff leaves the facility each year. Turnover is an issue within the industry and can also be a sign of a poorly run home. Less than 30 percent is considered good. Higher than 50 percent can be a warning sign.

CALL YOUR OMBUDSMAN: Each state has a federally funded long-term care ombudsman who is an advocate for nursing home patients. Click here to visit the New York ombudsman.