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Ohio Assisted Living Facilities

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Cost of Ohio Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Ohio is $3,890 per month.

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

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

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

West Virginia$3,500

Assisted Living Regulations

Ohio defines an assisted living facility as residential care facilities that care for 17 or more residents and provides supervision and personal supportive care to people who need it due to age or physical or mental impairment.

Ohio Assisted Living Facilities Scope of Care

In Ohio, assisted living facilities may help with medication, provide supervision, personal care services, change wound dressings, provide nutritional support, and offer intermittent enteral feedings. Unless the resident is in hospice care, no more than 120 days of intermittent nursing care may be offered on a part-time basis. Hospice patients are exempt from that limitation. Home health care agencies may be contracted by the resident to provide additional health care support.

Ohio Assisted Living Admission Requirements

Ohio requires that all residents have an assessment done at the beginning of their stay, annually, and if there are any significant changes in the resident's needs.

Ohio Assisted Living Care Plan Requirements

There are currently no policies in place regarding care plan requirements in Ohio assisted living facilities.

Ohio Assisted Living Medication Management Requirements

If residents are not able to self-administer medication, then medication administration must be offered by either a home health care service or an RN, LPN or physician. Unlicensed staff may assist with medication administration on the condition that the resident is alert, has asked for assistance, and is capable of participating in the medication process.

Ohio Assisted Living Facility Requirements

Private units must allow for at least 100 square feet of livable floor space, while double occupancy units must allow for at least 80 square feet of livable floor space per person. Four residents are allowed per room, while one tub/shower, sink and toilet are required for every eight residents, with bathrooms for both genders on each floor if both genders reside on that floor. Fire safety inspections are required monthly.

Ohio Assisted Living Staffing Requirements

Direct care staff must be sufficient in number to meet the needs of the residents and very specific policies require a dietician to be on staff if therapeutic diets are offered, at least two staff members trained in first aid must be on call all night, an administrator must be in the building no fewer than 20 hours a week, and if an assisted living facility offers skilled nursing care, then it must be managed by an onsite RN. Administrators must be 21, and have significant experience, or significant training related to gerontology care.

Ohio Assisted Living Medicaid Policy

In Ohio, 1800 residents a year can be helped through the assisted living Medicaid waiver program.

Ohio Alzheimer's Unit Requirements

If an Ohio assisted living facility has an Alzheimer's unit, then certain written disclosures are required. Additionally, staff who work in the unit must have specific training for working with that population. Additional policies apply to these units.

Ohio Medicaid Coverage of Assisted Living and Related Services

The State of Ohio pays for assisted living. The Medicaid waiver is called the Assisted Living Waiver Program. It pays for care services in residential care communities but does not pay for the room and board cost. The program has a limited number of slots available.

There are two types of services provided through the Assisted Living Waiver program:

Assisted living services - includes personal care, housekeeping, laundry, assistance with medication management, meals, non-medical transportation, social and recreational programming and 24-hour on-site staff availability to assist with unplanned needs.

Community transition service helps consumers move from a nursing facility to an assisted living facility. This includes basic household items that are essential to your health and safety and things that are needed to furnish a community residence. These services are determined by your care manager.

The recipient must be able to pay the established room and board payment - a single occupancy living unit. If you want to share your living unit with another individual, discuss this with your care manager. You will pay the room and board fee directly to the facility each month. If your income is less than the established room and board fee, contact the local Social Security Administration office and apply for Supplemental Security Income (SSI), though this won't necessarily guarantee additional income.

What is the best number to call to get started? 1-866-243-5678

Is there a website?

The Ohio Choices Waiver offers home and community-based services and supports to older Ohio residents. It allows the individual receiving care services to self-direct their own care. They are able to select the care providers and where they purchase medical equipment and supplies. Participants are assessed for their care requirements and allocated a budget for goods and services. The state assigns a third party fiscal agent to make payments on the individual's behalf.

Services offered by the Ohio Choices Waiver

- Adult Day Care

- Case Management

- Home Care / Personal Care

- Home Medical Equipment

- Disposable Medical Supplies

- Personal Emergency Response Systems

- Home Modifications to Enable Accessibility

- Prepared Meals

- Pest Control

How to apply - the Choices Waiver is only available in certain areas of Ohio served by the Area Agencies on Aging based in Columbus, Toledo, Marietta and Rio Grande.

To learn more or apply, contact your local Ohio Area Agency on Aging. Here is a brochure about the program.

Ohio Department of Health Phone (614) 466-7713

Contact: Jayson Rogers Phone (614) 752-9156


Web Site:

Ohio Contacts

Ohio Department of Health

Phone: (614) 466-7713

Bridgette Smith
Phone: (614) 466-7713

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

License information source: Ohio Long-Term Care

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