About Assisted Living in Ohio

With its friendly Midwestern vibe, low cost of living, and Great Lakes recreation areas, Ohio deserves some attention. Nature preserves and the Ohio River also attract fishing and boating enthusiasts, as well as canoers and kayakers, and hundreds of species of birds and other wildlife.

What Options are Available for Assisted Living?

In the state of Ohio, a residential care facility provides accommodations and care for a group of 17 or more individuals needing care due to age or physical or mental impairments.

All facilities are required to meet state fire and building codes as well as the National Fire Protection Association and International Fire Code standard regarding the use of extinguishers, smoke detectors, alarms, and sprinkler systems. They are also required to develop and maintain a disaster preparedness plan and conduct drills every 3 months on each shift.

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

Facilities that have special care units for individuals with Alzheimer’s or other cognitive impairments must disclose information about the unit’s placement, policies for transferring and discharging residents, special assessments, services and activities, staffing qualification, physical design features, family involvement, and costs for services. A physician must determine the need for placement into a special care facility, as well as a proper diagnosis.

Senior Assisted Living Details and Costs for Cities in Ohio

Listed below are some of the larger cities in Ohio. Each city listing page provides details on senior assisted living options, independent living, senior apartments and homes, and memory care facilities. Details may include costs, amenities and services offered, medical care, among other information.

What Training is Required for Residential Care Facility Staff?

Staff members must have first aid training and complete a specified training program relating to their position in the facility. Special care staff must receive additional training related to cognitive impairments and behaviors relating to Alzheimer’s disease and other dementias.

Is an Assessment Required Before Move-In?

All residents must be assessed either before or on admission. They must also be reassessed annually or if there is a significant change in their health. Residents with medical, psychosocial, and developmental disabilities required additional screening.

What Care is Available in a Residential Care Facility?

  • Supervision and personal care services.
  • Administer or assist with the self-administration of medication.
  • Supervise special diets.
  • Perform dressing changes.
  • 120 days of skilled nursing services on a part-time basis.

Skilled nursing services may be contracted from a licensed 3rd party hospice agency or certified home health agency.

How is Medication Managed?

Residence must be capable of self-administration or the facility must provide medication administration by a certified home health agency, hospice, or registered or licensed nurse or physician. Unlicensed staff may assist with self-administration as long as they have completed the necessary training. Assistance includes reminders, observing, handing medication to the resident, and reading labels.

What are the Bathroom Requirements for a Residential Care Facility?

1 toilet, sink, and bathtub or shower is required for every 8 residents, however, if more than 4 people of a single gender reside on one floor of the residence a bathroom must be provided for each gender on that floor. All new facilities constructed or converted will have a bathroom for each unit or apartment.

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

Facilities may admit or retain individuals that require skilled nursing care as long as it is on a part-time basis and does not exceed more than 120 days in any 12 month period unless it is determined by a physician that the residents needs can be met through hospice care.

Is Residential Care Covered by Medicaid in the State of Ohio?

Yes, but an assisted living Medicaid waiver can currently only accommodate 1,800 individuals in the state.

Who can I contact for more information?

Ohio Department of Health
Contact ODH
(614) 466-7857