Assisted Living in Ohio
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Families looking for assisted living in Ohio (OH) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 648 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 16.7 percent of the population. A resident in an assisted living community in Ohio will pay $4,278 per month on average.
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What You Should Know About Assisted Living in Ohio
Ohio assisted living homes are licensed as residential care facilities and are considered a less expensive and less restrictive alternative to skilled nursing homes. There are currently more than 700 assisted living properties with a residential care license. These loving communities provide personal support assistance in a home-like setting.
Financial Assistance for Assisted Living in Ohio
For Ohio seniors who find themselves without the means to pay for the care they need, there are subsidy programs available to help keep them under budget.
Assisted Living Waiver
The Assisted Living Waiver is provided through Medicaid to help pay for select services within an assisted living community. Although room and board are not covered under this program, covered services include personal care, skilled nursing, housekeeping, and medication assistance. Offsetting these costs can help bring the assisted living home's monthly cost down to stay within budget. Unfortunately, not all assisted living providers within Ohio have registered with this program, so the waiting list for these benefits is often long for certain properties.
Who Is Eligible?
The Assisted Living Waiver is available to Ohio residents over 21 years of age with a qualifying disability or anyone over the age of 65. Applicants must demonstrate a need for nursing home level of care and earn less than the $2,250 minimum monthly income. Qualified assets — or 'countable resources' — cannot exceed $2,000 for individuals.
How to Apply
Applications for the Assisted Living Waiver can be submitted through your local Area Agency on Aging Office.
Ohio's Residential State Supplemental program is available to residents who qualify for Medicaid. This program provides financial assistance to cover the costs of assisted living, adult foster care, and adult care facilities.
Who is Eligible?
Applicants must be over the age of 60 unless they have a documented disability. A need for care must be established by discharge from a hospital or nursing home with follow-up care requirements that exceed in-home capabilities. Applicants must also be enrolled in the standard Medicaid program with a monthly income below $1,300 and countable assets below $2,000 in value.
How to Apply
The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is the administrator of the RSS program. Application paperwork can be downloaded from the OhioMHAS website and submitted by fax or email.
More Ways to Finance Assisted Living
While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.
Free Assisted Living Resources in Ohio
Ohio seniors can also make use of the free assistance services offered by government agencies or non-profit organizations. These organizations can often offer information and connect the elderly with additional services.
Ohio Association of Area Agencies on Aging (o4a)
This nonprofit organization advocates for Ohio seniors and provide services to the elderly and their families. There are 12 Area Agencies on Aging (AAA) within Ohio, and they each offer education and referral services.
175 Tri County Parkway, Cincinnati, OH 45246
(800) 252-0155 or (513) 721-1025
40 W. Second Street, Suite 400, Dayton, OH 45402
(800) 258-7277 or (937) 341-3000
200 Easy High Street, Suite 2A, Lima, OH 45801
(800) 653-7277 or (419) 222-7723
2155 Arlington Avenue, Toledo, OH 43609-0624
(800) 472-7277 or (419) 382-0624
2131 Park Avenue West, Ontario, OH 44906-1226
(800) 860-5799 or (419) 524-4144
3776 S. High Street, Columbus, OH 43207
(800) 589-7277 or (614) 645-7250
160 Dorsey Drive, Rio Grande, OH 45674-0500
(800) 582-7277 or (740) 245-5306
1400 Pike Street, Marietta, OH 45750
(800) 331-2644 or (740) 373-6400
1730 Southgate Parkway, Cambridge, OH 43725
(800) 945-4250 or (740) 439-4478
925 Euclid Avenue, Suite 600, Cleveland, OH 44115
(800) 626-7277 or (216) 621-8010
1550 Corporate Woods Parkway, Uniontown, OH 44685
(800) 421-7277 or (330) 896-9172
5555 Youngstown-Warren Road, Suite 2685, 2nd Floor, Niles, OH 44446
(800) 686-7367 or (330) 505-2300
The VA was created to provide assistance and medical care to those who served in the armed forces. Veteran seniors can be assigned a case manager who will help them understand their benefits and connect them to veteran assistance programs they may be eligible for. The VA can help identify care options and the organization has resources to help senior veterans and their families with financing options for senior care.
A list of Ohio VA offices and their contact information is found below.
601 Cleveland Ave N. Suite C, Canton, OH 44702
4242 Lorain Avenue, Suite 203, Cleveland, OH 44113
20 Spruce Street, Columbus, OH 43215
627 Edwin C. Moses Boulevard, 6th Floor, Dayton, OH 45408
5310 1/2 Warrensville Center Rd., Maple Heights, OH 44137
4545 Montgomery Road, Norwood, OH 45212
5700 Pearl Road, Suite 102, Parma, OH 44129
1565 South Byrne Road, Suite 104, Toledo, OH 43614
1240 East Ninth St, A. J. Celebreeze Federal Building, Cleveland, OH 44199
State social security offices offer assistance to seniors in understanding their social security benefits. The Ohio Social Security Administration is available to help you with Medicare benefits, SSI and disability benefits. A listing of offices in cities throughout the state is listed below.
2166 Romig Rd. Akron, OH 44320
2 S. Main Street, 2nd Floor, Akron, OH 44308
4815 State Rd, Ashtabula, OH 44004
743a East State Street, Athens, OH 45701
1050 Hospital Drive, Batavia, OH 45103
3591 Park East Dr, Beachwood, OH 44122
745 Innovation Drive, Bowling Green, OH 43402
1225 Woodlawn Ave Suite 105, Cambridge, OH 43725
301 McKinley Ave. SW Suite 100, Canton, OH 44702
44 Stoneridge Drive, Chillicothe, OH 45601
550 Main St Room 2000, Cincinnati, OH 45202
10205 Reading Rd, Cincinnati, OH 45241
7517 Lorain Ave, Cleveland, OH 44102
1240 E 9th St Rm793 AJC Fed Bldg, Cleveland, OH 44199
11601 Shaker Blvd, Cleveland, OH 44120
15250 S. Waterloo Rd, Cleveland, OH 44110
220 S Hamilton Rd, Columbus, OH 43213
200 North High Street Room 225 Fed Bldg, Columbus, OH 43215
1060 Georgesville Road, Columbus, OH 43228
200 W 2nd Street Room 209 Federal Bldg., Dayton, OH 45402
4375 Hoover Ave, Dayton, OH 45417
273 Stadium Dr, Defiance, OH 43512
120 East Fourth Street, East Liverpool, OH 43920
1720 E Melrose Ave, Findlay, OH 45840
3715 Towne Blvd, Franklin, OH 45005
2220 Enterprise Street, Fremont, OH 43420
2455 State Route 160, Gallipolis, OH 45631
6553 Winford Avenue, Hamilton, OH 45011
611 Vernon Street, Ironton, OH 45638
17513 Detroit Ave, Lakewood, OH 44107
252 Venture Place, Lancaster, OH 43130
401 West North St Federal Bldg., Ste 101, Lima, OH 45801
221 W 5th St, Lorain, OH 44052
1287 South Trimble Road, Mansfield, OH 44907
1301 Greene Street, Marietta, OH 45750
1363 Wellness Dr, Marion, OH 43302
4035 N Jefferson St, Medina, OH 44256
7344 Pearl Rd Suite 101, Middleburg Heights, OH 44130
1260 Monroe St NW Suite 1c, New Philadelphia, OH 44663
125 Derby Downs Rd, Newark, OH 43055
55 W Jackson St, Painesville, OH 44077
277 S Looney Rd, Piqua, OH 45356
921 Fourth Street, Portsmouth, OH 45662
444 Enterprise Parkway, Ravenna, OH 44266
252 Wayne Street, Sandusky, OH 44870
1610 N Limestone St, Springfield, OH 45503
100 Mall Drive, Steubenville, OH 43952
Four Seagate Suite 1000, Toledo, OH 43604
4906 Monroe St Suite A, Toledo, OH 43623
258 E Market Street 1st Floor, Warren, OH 44481
18711 Miles Avenue, Warrensville Heights, OH 44128
2345 Gateway Dr Ste B, Wooster, OH 44691
1051 Worthington Woods, Worthington, OH 43085
80 N Progress Dr, Xenia, OH 45385
354 E Federal St, Youngstown, OH 44503
3823 James Court, Zanesville, OH 43701
Assisted Living Laws and Regulations in Ohio
Assisted Living Service Plan Requirements
A health assessment is required for all new residents before or immediately after the move-in date. These are used to create a plan for services provided by the community. Health assessments should also be performed annually and upon any resident who has recently experienced a significant change in condition. Each assessment should include a medical history, physical and mental functionality tests and lists of all medications and diagnoses. A licensed staff member checks the resident for the ability to self-administer medication and makes the determination if reminders are sufficient or if full medication setup is required.
The resident or their responsible party may become part of a risk assessment agreement with the assisted living community. A resident has the right to decline a recommended service as long as they fully understand the health risks involved and agree to shoulder the responsibility of these risks.
Assisted Living Admission Requirements
Lengthy periods of skilled nursing care may cause a person to become ineligible to live at an assisted living residence. The maximum allowable amount of skilled care is 120 days in a 12-month period. Individuals who are bedridden, have very complex medical conditions or have severe skin ulcers may not be admitted to an assisted living residence. Exceptions are sometimes made for hospice care.
Assisted Living Scope of Care
Assisted living communities in Ohio provide personal assistance, accommodations, and supervision to seniors and disabled individuals. Most communities provide one to three meals a day, however, it is not a requirement. If meals are not provided, each room must have the necessary conveniences to prepare meals. Limited part-time nursing skills are available to residents and occasional short-term periods of skilled nursing care.
Assisted Living Medicaid Policy
Assisted Living Waivers and the Ohio's Residential State Supplemental program may help supplement the costs associated with assisted living services. Applicants must demonstrate need for care and proof of low income.
Assisted Living Facility Requirements
Medicaid waivers require the use of apartment-style units and residents have a choice of whether to share their room. State licensing rules do not insist upon apartment-style for all other residents but do require a maximum of four persons to be allowed in one unit. Occupants may share a bathroom but there must be one toilet, tub/shower or sink for every 8 people.
Meals are considered optional by the licensing board and each community may vary between providing no-meal service to three meals a day.
Medication Management Regulations
If the patient has been approved during their health assessment to self-administer their own medication, trained non-licensed staff may assist with this procedure. This could include reminders, opening containers, helping the resident organize their pills, verifying and reading labels and handing the medication to the resident.
All other residents will receive their medication from licensed personnel such as an RN, LPN, physician or certified medication aide. Licensed home health and hospice agencies may also administer medications.
The staff at an Ohio assisted living community is comprised of an administrator and assorted direct care staff. The administrator runs the day-to-day operations and should be available at all times when not on-site. This person must work a minimum of 20 hours per week during the times of 8:00 a.m. and 6:00 p.m.
Direct care staff assist residents in their daily living activities. Communities will vary in the type of licensed staff they employ depending on the services offered. If medication administration is provided, a physician, RN or LPN under the direction of an RN must be in-house at all times.
In addition, communities may contract with a physician, psychologist and/or nurse if they have residents that need advanced care.
There are no minimum staff ratios, but the law states that each location must have sufficient direct care staff to meet each resident’s needs.
Staff Training Requirements
Ohio ensures that the residents in assisted living communities receive the best possible care by establishing a variety of training stipulations for all staff.
- Orientation - occurs immediately upon hire and includes job responsibilities, resident’s rights, emergency preparedness and building procedures
- Continuing education - must be completed annually and is comprised of 8 hours of training in personal care, communication and observation
- First aid - must be completed within 60 days of hire
Additionally the administrator must complete 9 hours annually of classes on aspects of senior care and health administration
Any assisted living residence that includes memory impaired individuals requires their staff to complete 2 hours of specialty training in dealing with cognitive issues along with a 4-hour annual continuing education class.
Background Check for all ALR Staff in Ohio
All staff who have any direct contact with residents are required to apply for a background check and provide fingerprints to the Bureau of Criminal Identification and Investigation. Any staff member that has resided in the state of Ohio for less than 5 years must also apply for a background check with the Federal Bureau of Investigation.
Requirements for Reporting Abuse
In Ohio, the Adult Protective Services care about elder abuse. If at any time, you suspect abuse or neglect call 1-855-OHIO-APS (1-855-644-6277) toll-free 24/7. It is best to provide as much information as possible including name, address, age and suspected abuse.
In addition, you may file a complaint against a health-care community with the Ohio Department of Health at 1-800-342-0553.
Assisted Living Facilities in Ohio
Top-Rated Caring Stars Winners in Ohio
Caring.com’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.
Gardens at Westlake Senior Living
Westlake, OH Cost Levels
Spring Hills Middletown
Franklin, OH $
Cincinnati, OH $
Canton, OH $$$
Brookdale Westlake Village
Westlake, OH $$$
The Enclave of Newell Creek
Mentor, OH $$
Independence Village of Avon Lake
Avon Lake, OH $$$$
Reflections Retirement Community
Lancaster, OH Cost Levels
Spring Hills Singing Woods
Dayton, OH $$
Wickshire SL of Poland
Poland, OH Cost Levels