About Assisted Living in Illinois

The cost of living in Illinois is actually on line with the national average, but fluctuates in different areas of the state. They do levy a flat income-tax rate which is slightly higher than average. Social security and pension payments are not taxed, and there are property tax exemptions for those who are 65 and up. Illinois also boasts great health care with more physicians per capital than the average across the rest of the US.

What Options are Available for Assisted Living?

In the state of Illinois, assisted living and shared housing establishments provide 24-hour community-based care for 3 or more unrelated adults who need assistance with activities of daily living (ADLs), including personal, supportive, and intermittent health services.

Assisted living and shared housing establishments must comply with National Fire Protection Association Life Safety Codes regarding the use of smoke detectors, fire sprinklers, and evacuation plan, practice, and implementation.

What are the Alzheimer’s Requirements for Assisted Living and Shared Housing Establishments in Illinois?

If an establishment offers special programs for individuals with Alzheimer’s they must also offer a range of services from appointing a representative to ensuring the continued safety of the resident. All additional services must be documented and disclosed to the resident before admission to the shared housing establishment.

Senior Assisted Living Details and Costs for Cities in Illinois

Found below are some of the larger cities in Illinois. Each city listing page provides details on assisted living housing, independent living, senior apartments and homes, and Alzheimer's care. City pages may include details on costs, amenities, medical care, and other useful information.

What Training is Required for Assisted Living and Shared Housing Establishment Staff?

All personnel must have the proper experience for the job to which they are assigned. They must also undergo ongoing in-service training to ensure they have the necessary skills to perform job duties.

All staff members working in Alzheimer’s care must receive additional training as well as a 4 hour dementia-specific orientation. The first 16 hours of direct care on-the-job-training must be supervised, and must cover encouraging independence while providing assistance with ADLs (activities of daily living), evacuation procedures, creating an environment that minimizes challenging behavior, resident rights, and techniques for successful communication. This position also requires 12 hours of in-service education each year specific to Alzheimer’s and dementia.

Is an Assessment Required Before Move-In?

A physician’s assessment is to be completed before moving into the establishment, and a re-evaluation must be performed each year. Currently there is no required form, but the individual’s physical, cognitive, and psychosocial conditions should be evaluated and documented. Each establishment may develop their own evaluation tools as well as forms of documentation as long as it addresses the resident’s condition and incorporates the physician’s assessment.

What Care is Available in Assisted Living and Shared Housing Establishments?

  • Assistance with ADLs.
  • General supervision.

Residents are allowed to contract 3rd party home health agencies that are unrelated to the shared housing establishment to assist with special needs.

How is Medication Managed?

All medication must be self-administered, but facility staff may give reminders and monitor residents to make sure they follow directions on the containers. Medicine administration can be provided by licensed personnel if necessary.

What are the Bathroom Requirements for Assisted Living and Shared Housing Establishments?

Assisted living units will have bathrooms that allow for privacy while also providing an operational sink, toilet, mirror, ventilation, and assistive devices. At least 1 tub or shower must be provided for every 6 residents, and 1 toilet and sink for every 4.

What are the Move-In or Move-Out Requirements?

Assisted living/shared housing establishments can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Possessing serious mental or emotional problems.
  • Need constant nursing care.
  • Require total assistance with 2 or more ADLs.

Is Assisted Living Covered by Medicaid in the State of Illinois?

Illinois offers a Supportive Living Program that operates under a 1915(c) Home and Community-Based Services Medicaid waiver, authorizing support for 11,500 people per year through Supportive Living Facilities (SLFs). SLFs are certified and inspected by the Department of Healthcare and Family Services.

Who can I contact for more information?

Department of Public Health, Division of Assisted Living
Lynda Kovarik, RN
(217) 782-2913