I make visits like this with my children, but it’s a somewhat organized thing through the parish. I prefer doing it this way simply because it provides a tiny bit of “structure” to the visit, as opposed to walking in completely cold.
Our assigned month is February, so I actually need to get my act together in a few weeks.

Basically, I call ahead of time and get the head count of how many residents have a birthday during the month. I buy that many helium balloons at the grocery, and my kids make cards or pictures in that amount too. At the nursing home, they give us a list of the residents with their room numbers. We stop at the door and ask if it’s okay to come in and visit for a few minutes. Responses range from enthusiasm (just a few sadly) to non-responsive stares (many of them.) We tie the balloon to the edge of the patient’s bed, where they can see it (assuming no oxygen tanks are in use! important!) give the card or picture, and then sing “Happy Birthday” and “You Are My Sunshine.” For many of them, that’s all we do, because there’s really been no change at all since we’ve come in the door. We wish them a cheery “Have a nice day” and move along. For those that are responsive, however, we stay and talk for a few minutes about whatever is of interest to the patient. Since we kind of stand out (eight kids, several red heads thrown in the mix) that is often the starting point-- those who are up to talking often want to share about the big family they grew up in, or how their deceased wife had red hair “just that color,” etc…
Frankly, it’s always slightly depressing to visit, because it’s apparent that while some residents have loads of visitors and plenty of company from family, others have none at all. Just none. It breaks my heart. I’m glad that we can bring a little light into the room for a couple of minutes, but in the grand scheme of things, it seems like so little…
So there you go. I guess it depends on personality, but I’m not the kind of person that could just walk in solo and with no “plan” in mind. If you can, that’s great, but if not, having something to lean on, like birthdays, or a book to read aloud, or a nail file and polish to give the ladies a cute little manicure, or
something might be a good idea…
Margaret