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Choosing Between Two Communities

The questions that break a tie once the tours all start blurring together.

HomeComparisonsChoosing Between Two Communities
Short answer

When two communities both seem workable, compare the all-in cost at your parent's actual care level, the three-year rate increase history, overnight staffing (not daytime), both facilities' state inspection records, and whether either holds a Medicaid waiver provider agreement your family might eventually need.

This decision comes up often enough that we cover it in full, with a step-by-step comparison process, on its own page in our situations section rather than repeating it here.

See the full comparison walkthrough →

What to ask on a tour. Ask to see the state inspection report, the memory-care disclosure/certification if marketed, the all-in cost at your parent's care level, the three-year rate increase history, and the overnight staffing ratio. Read the full explanation →

Questions families ask

What license does Ohio require for assisted living, and what law covers it?

Ohio licenses assisted living as a Residential Care Facility (RCF) under Ohio Revised Code Chapter 3721, with day-to-day operating rules in Ohio Administrative Code Chapter 3701-16. The Ohio Department of Health issues and inspects the license.

Does Ohio require a separate certification for memory care?

Only in one specific context: Residential Care Facilities serving residents under Ohio's Assisted Living Waiver must be certified for memory care under OAC 173-39-02.16. Private-pay memory care units outside that waiver are not certified the same way.

How does Ohio license nursing homes differently from assisted living?

Nursing homes are licensed under a separate administrative rule chapter, OAC 3701-17, distinct from OAC 3701-16 for Residential Care Facilities. Nursing homes are also federally certified and CMS star-rated, which assisted living in Ohio is not.

How many days can an assisted living community in Ohio provide skilled nursing before a resident must transfer?

Ohio caps the skilled nursing an RCF may provide at 120 days in any 12-month period per resident, under ORC 3721.011, with exceptions for physical/occupational/speech therapy and hospice residents.

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