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Illinois Assisted Living Facilities

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Illinois assisted living facilities are listed by city below. We recommend you search by ZIP code to include nearby facilities. However, you may choose a city to view all assisted living options in that area.


Cost of Illinois Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Illinois is $4,050 per month.

The monthly base rate for Illinois assisted living is typically higher when compared to neighboring states. Illinois is also more expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Illinois. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States


Assisted Living Regulations

Illinois defines an assisted living facility as one that provides residential and community based care for at least three unrelated adults. The majority of the residents (80%) should be 55 or older, and residents must need some assistance in their activities of daily living, or ADLs. Personal and health-related services must be available to all residents 24 hours a day. A shared housing establishment provides residential community based care for 16 or fewer unrelated adults and include the rest of the same guidelines as an assisted living facility.

Illinois Assisted Living Facilities Scope of Care

Illinois assisted living facilities must provide general watchfulness for the residents, but may not provide nursing care, which can only be performed by an outside home health agency. An assisted living facility cannot allow residents who have severe mental or emotional issues to stay, nor can residents stay if they need direct supportive services for at least two activities of daily living.

Illinois Assisted Living Admission Requirements

Before a resident is admitted to an assistant living facility, he or she must have a physician complete a thorough assessment. There are no specific forms for this assessment, but the physician's assessment must document the potential resident's cognitive, physical and psychosocial condition. A TB test must also be performed and the results documented.

Illinois Assisted Living Care Plan Requirements

Every resident must have a documented physical assessment performed annually by a physician.

Illinois Assisted Living Medication Management Requirements

In Illinois assisted living facilities, residents must be able to administer their own medications, or they must be given by licensed personnel. However, non-licensed staff can remind residents to take their medicine and make sure that the medication's instructions are followed.

Illinois Assisted Living Facility Requirements

Residential units are individual units unless resident prefer to share a room. Bathrooms may be shared and if shared, there must be at least one bathtub or shower for every six residents and one lavatory and toilet for every four residents. Bathrooms must have some reasonable level of privacy, as well as a sink, mirror, toilet and window or ventilation system. In addition, all Illinois assisted living facilities must be in full compliance with the National Fire Protection Association Life Safety Code 101, Chapter 32 (New Residential Board & Care Occupancies), 2000 Edition, or Life Safety Code 101A, Chapters 6 (Evaluating Evacuation Capability) and 7 (Board and Care Occupancies), 2001 Edition.

Illinois Assisted Living Staffing Requirements

A full time manager, or administrator is required to be employed at all Illinois assisted living facilities, as well as enough staff to take care of the residents' needs twenty-four hours a day. At all times, at least one staff member who is CPR certified must be on the premises and awake. All staff must have specific training or experience in the responsibilities they are expected to perform. Administrators must be at least 21 and have graduated from high school.

Illinois Assisted Living Medicaid Policy

The Illinois Department of Healthcare and Family Services administers the state Medicaid program. For the purposes of Medicaid, assisted living facilities in Illinois are defined as 'Supportive Living Facilities' for the purposes of the 1915(c) Home and Community-Based Services Medicaid waiver. Annually, 11,500 can be served by the Illinois Supportive Living Program. In 2009, 118 Supportive Living Facilities (SLFs) were operating with 9,300 apartments and another 27 sites with about 2,600 apartments were under development.

Illinois Medicaid Coverage of Assisted Living and Related Services

The State of Illinois has the HCBS Waiver for Supportive Living Facilities. The Illinois HCBS Waiver program is intended to help the elderly by providing services in assisted living residences. "Supportive Living" applies to board and care homes, assisted living and some senior living centers. The individuals, who are qualified for nursing home care, must receive that care in an assisted living setting.

This Waiver helps the elderly who require nursing home care but prefer to live at home instead. The program is designed to give adult day care services during daytime hours and personal emergency response service for the home. Individuals are able to receive homemaker services that help with the instrumental activities of daily living around their place of residence like:

- Activities of daily living such as laundry, grocery shopping, housekeeping.

- Social and personal care assistance on weekdays during normal business hours intended to allow the primary caregivers to work.

- Personal emergency alerts services sometimes abbreviated as PERS.

This program is not a Medicaid entitlement program. It is available statewide across Illinois but there is a maximum number of available slots.

To apply, one should contact their local Illinois Area Agency on Aging. Contact information is available here and here.

The HCBS Waiver also offers services for individuals residing in assisted living environments. These can include:

- Personal care - assistance with the activities of daily living such as bathing and grooming

- Medication administration - supervision and assistance taking prescription drugs

- Chore services - laundry, housekeeping and other instrumental activities of daily living

- Social, recreational and physical activities - provided in or by the supportive living community

- Personal emergency response

- Skilled nursing - on a temporary basis only

The HCBS Waiver for Supportive Living Facilities program is available to seniors statewide. Note that it is not available to every county. Individuals may be required to live in a county to receive care. A list of approved facilities, by county, is available here.

To apply, individuals should contact the Department of Healthcare and Family Services (HFS), Bureau of Long Term Care. The website is

How long is the waiting list? Many years.

How many people are on the waiting list? 33,000

How many people are currently receiving services? 16,000

Department of Public Health, Division of Assisted Living Phone (217) 782-2913

Contact: Lynda Kovarik, RN Phone (217) 785-9174


Web Site:

What is the best number to call to get started? 1-888-DD-PLANS or (888) 337-5267

Is there a website?

Illinois Contacts

Illinois Department of Public Health, Division of Assisted Living

Phone: (217) 782-2913

Richard L. Dees
Phone: (217) 782-2913

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Illinois Department of Public Health

Illinois Assisted Living Facilities by City