Recently, an elderly family member’s health hasn’t been great, so my wife and I are considering moving him to a medical nursing home with better facilities. Since we both work, we can’t provide round-the-clock care. As I started researching, I realized it’s a much more complex issue than I first thought, with so many factors to consider: price, services, location… I’ve spent a lot of time gathering information, which I’m sharing here for everyone, and I’d also love to hear your suggestions.
How to Judge the Quality of a Nursing Home?
To be honest, relying solely on online rankings can be misleading. The best approach is to visit them in person. However, before you go, you can screen potential options based on a few key points. Personally, I focus on these aspects:
- Medical Team Staffing: Is there a doctor or nurse on duty 24/7? Are services like physical rehabilitation and psychological counseling available and comprehensive? This is the most crucial factor for seniors requiring long-term care.
- Facilities and Environment: Are the rooms single or shared? Is there ample common activity space? Is there a garden easily accessible for residents? I visited one place where the rooms felt too small and depressing, so I immediately ruled it out.
- Meals and Activities: What is the food like? Can they provide special meals based on a resident’s health needs? This is a key service you’d expect from good Spanish medical nursing homes. What activities are organized regularly? You wouldn’t want them just watching TV in their rooms all day.
- Location: How close is it to your home? This determines the frequency and convenience of your visits. If it’s too far, the elderly resident may also feel isolated.

Major Nursing Home Groups
In Spain, many high-quality nursing homes are part of large, professional groups. They typically have more standardized management and services. I’ve researched a few well-known ones for your reference:
| Nursing Home Group | Features | Main Coverage Areas |
| DomusVi | One of Spain’s largest groups; facilities are generally modern and services are comprehensive. | Nationwide, especially in Catalonia and Madrid |
| Orpea | A high-end brand from France, focusing on rehabilitation and personalized care. | Major cities like Madrid and Barcelona |
| Sanitas Mayores | Part of the Sanitas insurance group; strong medical resources, closely integrated with their own hospitals. | Nationwide |
| Amavir | Good value for money; excels in community integration. | Mainly in Madrid and its surrounding areas |
You can find detailed information and contact details for each specific facility on their official websites. My impression is that Sanitas Mayores, with its insurance and hospital background, might have an edge in medical support, but it’s also relatively more expensive.
Besides these large chains, every region also has many local, ‘small but beautiful’ private nursing homes, including some with a religious affiliation, which might be more affordable. The choice depends mainly on your budget and the senior’s specific needs. For example, if someone only needs assistance with daily living and doesn’t have high medical requirements, a smaller, community-based nursing home might offer a warmer atmosphere. I hope this information is helpful to others facing the same challenge, and feel free to add your own knowledge and experiences in the discussion!