A Change is Afoot is a senior consultant and placement service. Our personal FREE service provides everything families need for the successful transition into a new home. The services I provide: I would personally meet with the families, and assess specific needs. If needed, our registered nurse completes a thorough health assessment. I can offer options from over 200 of the best senior living facilities and communities in the Puget Sound area. I pre-tour each senior living facility or community to ensure an appropriate environment. I personally escort seniors and their family to explore at least three viable community options, providing ample time and attention to ensure a confident decision.