About Assisted Living in Indiana

Due to its central location Indiana draws people from around the country. A low cost of living and low income taxes are great incentives for those living on a budget. Social security income is not taxed and other exemptions are available to those who are retired military or federal civil service over the age of 60, however out-of-state pensions are fully taxed.

What Options are Available for Assisted Living?

In the state of Indiana a Residential Care Facility provides nursing care that may include a regimen prescribed by a physician, physician’s assistant, chiropractor, dentist, optometrist, podiatrist, or registered nurse. The facility may also administer, supervise, delegate, and evaluate nursing activities.

The facility must provide the resident with a copy of the contract, describing the facility’s licensure status and other relative information, as well as a copy of the annual disclosure document that is filed with the Division of Aging.

There are no life safety code required for Residential Care Facilities. However, each facility is inspected by the state fire marshal and sanitation and safety standards must be in accordance with ISDH (Indiana State Department of Health) rules.

What are the Alzheimer’s Requirements for Residential Care Facilities in Indiana?

If a facility offers or advertises services for Alzheimer’s and related disorders it must prepare a written disclosure statement that includes the mission concerning resident’s with dementia, and criteria used to determine special care, as well as assessment, establishment, and implementation of special care. The disclosure must also include information about the staff and training provided, activities available for residents, guidelines for using physical and chemical restraints, and any other features and services, as well as an itemized list of the facilities charges and fees for special care.

Senior Assisted Living Details and Costs for Cities in Indiana

Listed below are some of the larger cities in Indiana. Each listing page provides details on senior and assisted living options, independent living, senior group homes, and memory care. City pages may include details on costs, amenities, services provided, among other information.

What Training is Required for Residential Care Facility Staff?

Each employee must undergo orientation, in-service education, and training for each department. Nursing personnel should receive 8 hours of continued education each year, while other departments only have to undergo 4 hours of continued education. Records of all training must be kept on file at the facility.

All staff who come in contact with residents with Alzheimer’s or dementia are required to have an additional 6 hours of training within the first 6 months of employment and must complete 3 hours of additional training each year to meet the needs of cognitively impaired residents.

Is an Assessment Required Before Move-In?

Before moving into a Resident Care Facility the individual must undergo an assessment to evaluate their physical, cognitive, and mental status, as well as their independence with ADLs, weight, and their ability to self-administer medication. The facility must document the information as well as specific scope, frequency, need, and preference for services provided. Resident information should be updated semi-annually and if there is a substantial change in his or her condition.

What Care is Available in an Residential Care Facility?

  • Room and board.
  • Laundry services.
  • Activities.
  • Housekeeping.
  • Limited assistance with activities of daily living (ADLs).

Residents have the right to choose their own attending physicians and contract 3rd party assistance, including home health, hospice, and personal care.

How is Medication Managed?

Each facility has the option to administer medication. However, if medication is administered, it must be ordered by the resident’s physician and supervised by a licensed nurse.

What are the Bathroom Requirements for a Residential Care Facility?

For facilities licensed after April 1, 1997, each unit must have a private toilet, sink, and tub or shower. Those licensed before must meet bathtub/shower, sink, and toilet to resident ratios defined by regulation.

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

Residential care facilities can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Are a danger to themselves or others.
  • Require 24-hour nursing care.
  • Require less than 24-hour nursing care or rehabilitative therapies and have not entered into a contract with an appropriately licensed service provider.
  • Are not medically stable.
  • Require total assistance with 2 of the following: eating, toileting, or transferring.

Is a Residential Care Facility Covered by Medicaid in the State of Indiana?

Assisted living services are available under the state’s Aged and Disabled and Traumatic Brain Injury waivers, and all providers of this service must have a Residential Care Facility license from ISDH (state department of health).

Who can I contact for more information?

Indiana State Department of Health, Division of Long Term Care (ISDH)
Miriam Buffington
(317) 233-7613

Indiana Division of Aging (DA)
Sarah Renner
(317) 232-7123