Because of the specialized staff training and resources required to provide high-quality memory care, memory care typically costs more than other types of residential care. On average, memory care will cost 20-30% more than assisted living.
In Ohio, the average cost of assisted living is $4,339 per month, which is almost $300 higher than the national average of $4,051 per month. As memory care costs an average of 25% more than assisted living, seniors can expect to pay around $5,424 for memory care in one of Ohio’s residential care facilities.
Across the state, memory care costs vary from city to city. In the capital city of Columbus, assisted living services cost an average of $3,945 per month. Some cities are quite affordable, such as the Cleveland area which costs an average of $3,575 per month, while others are above the state median, such as Cincinnati at $4,245 per month and Dayton at $4,455 per month. Costs can climb as high as $5,036 in Toledo. It’s also important to note that these amounts are for standard assisted living services, and memory care may be anywhere from $860 to $1,300 more expensive per month, depending on the location of the facility and services offered.
Also known as the Integrated Care Delivery System (ICDS) Medicaid Waiver, the MyCare Ohio Plan (MCOP) is a program for Ohio seniors enrolled in both Medicare and Medicaid, which allows participants to have a single point of contact to access care services. Some of the services provided include doctor visits, medical transportation, meal delivery services, assistance with home modifications and a full range of personal care services.
PASSPORT stands for Pre-Admission Screening System Providing Options and Resources Today. Part of the state’s Medicaid waiver program, PASSPORT provides seniors access to a variety of resources and support services to assist with activities of daily living and home maintenance. Some of the services offered include minor repairs, housekeeping, accessibility modifications and personal care.
The Assisted Living Waiver Program is part of Ohio’s Medicaid program. While it does not cover the complete cost of assisted living, it helps reduce the cost of services offered in residential care settings so seniors can enjoy the flexibility and recreational activities of group living. Some of the services it covers include health assessments and monitoring, personal care, medication assistance, housekeeping and nonmedical transportation.
Ohio’s Residential State Supplement program is a state-funded cash assistance program designed to help Medicaid-eligible seniors pay for the cost of care in RCFs and other adult care facilities. The program is intended to supplement the funding a senior already receives from Social Security, Supplemental Security Income (SSI) or Disability benefits to help pay for accommodations, supervision and personal care services. The RSS is administered by the Ohio Department of Mental Health (OhioMHAS) and Addiction Services, in partnership with the County Department of Job and Family Services.
The Ohio Elderly Services Program (ESP) provides in-home services for seniors who do not qualify for Medicaid based on disability and income levels, but still require assistance. It offers help with housekeeping and chores, minor home repairs, pest control, home-delivered meals and adult day care.
In Ohio, facilities that provide memory care services in an assisted living environment are known as residential care facilities (RCFs). Across the state, the terms assisted living and residential care can be used interchangeably. The Ohio Department of Health (ODH) is responsible for the licensing, inspection and certification of all RCFs throughout the state.
According to the state, to be classified as an RCF, a facility must offer accommodations for 17 or more unrelated individuals, with supervision and personal care services for at least three residents who experience limitations due to their age, physical or mental impairments. Smaller communities that provide some skilled nursing care services can also be licensed as RCFs.
These RCFs may have specialized units or an entire facility designed specifically for residents who have Alzheimer’s or another type of dementia. The ODH has specific requirements for these special care units, which must be outlined when a facility applies for their residential care license.
RCFs may provide residents with a variety of services, including supervision, daily personal care, medication administration, diet supervision, dressing and assistance with part-time intermittent enteral feedings. Skilled nursing services may also be provided on a part-time basis for no more than 120 days, with the exception of hospice residents and those whose physicians have recommended skilled nursing care as part of their routine.
RCFs offer care services for a variety of residents, though they do have some restrictions on who they can admit. The table below outlines who may or may not be admitted to an RCF.
|Residents Who May Be Admitted||Older adults and people with:|
|Residents Who May NOT Be Admitted||Those who:|
Facilities are required to complete a residential assessment within 48 hours of a senior moving in, and after that, on a yearly basis or following any significant health changes. A licensed health professional must also determine if a senior is able to self-administer medication or requires medication administration assistance. Additional assessments may be conducted for residents with medical, psychological, developmental or intellectual impairments.
Residents are also allowed to contract with third-party providers, such as a licensed hospice agency, certified home health agency or mental health agency, if they feel they could benefit from additional services.
Medication Management Requirements
Any medications administered to residents must be done so by authorized personnel, such as physicians, registered nurses (RNs), licensed practical nurses (LPNs) or certified medication aides who have undergone special training.
Residents who are mentally alert and capable of self-administering their own medications may do so with the help of trained nonlicensed staff as required. Assistance includes reminders, observation, handing medications to the resident and verifying labels, and in the case of physically impaired residents, removing medications from containers, placing a container to the resident’s mouth and applying medication upon request.
As licensing rules do not dictate a requirement for apartment-style rooms, RCFs can have both private and shared rooms. Private units must be a minimum of 100 square feet in size and multiple-occupancy units are required to provide a minimum of 80 square feet for each resident, not including bathrooms or closet space. The maximum occupancy for an individual unit is four individuals. For every eight residents, there must be one toilet, sink and tub or shower provided. If more than four seniors of one gender are residing on a single floor, a bathroom for each gender must be provided on that floor.
The facility is required to have safety items such as sprinklers, smoke detectors and carbon monoxide alarms installed, as well as a disaster preparedness plan.
RCFs are required to have direct care staff to provide personal care services, at least one of whom is trained in first-aid, and an administrator who oversees daily operations and is accessible at all times. If a facility offers skilled nursing services, it must have a registered nurse either on staff or under contract, and if it offers medication administration services, an RN, physician, LPN or authorized staff member must be on duty. RCFs must also have a psychologist or physician on staff if they provide memory care services.
While the state does not enforce a minimum staff ratio, sufficient numbers must be available to properly care for residents’ needs. All staff members are required to go through orientation and training to learn their responsibilities, facility procedures, emergency assistance and resident rights. Training must be conducted by a licensed nursing professional. Any staff who provide direct care to residents must complete first-aid training within 60 days of their hiring.
Staff must participate in eight hours of continuing education on an annual basis to keep up to date on personal care techniques, refine their observational skills and develop their communication skills.
Ohio has two Medicaid waiver programs to cover the cost of services in residential care facilities: the Assisted Living Program and the Managed Care Demonstration Waiver, known as MyCare. Additionally, seniors who are eligible for Medicaid can receive monthly assistance from the state-funded Residential State Supplement (RSS) to help cover the cost of accommodations, supervision and personal care services in an RCF.
To register a complaint about an RCF, seniors can call the Ohio Department of Health complaint department toll-free at 800-342-0553 or fill out a form online. Complainants can choose to remain anonymous. Concerns or complaints dealing with the care or treatment of residents in an RCF can also be directed to the area’s regional long-term care ombudsman program or by calling 800-282-1206.
|Ohio Council of the Alzheimer’s Association|
|800-272-3900||The Ohio Council of the Alzheimer’s Association is comprised of seven regional chapters that advocate for the interests of Ohioans with Alzheimer’s and other memory-related diseases. Each chapter offers educational resources and support services for seniors and their families, and hosts a variety of fundraising and awareness efforts.|
|The Golden Buckeye Program|
|800-422-1976||The Golden Buckeye program is a service offered by the Ohio Department on Aging to help older adults make community connections. Participants receive a card that entitles them to receive special discounts and support from local businesses and services, including dining, entertainment, dental offices, optometrists, home maintenance and salons.|
|To find Caregiver support in your area, contact your local Area Agency on Aging.||Through the National Family Caregiver Support Program, caregivers to seniors with Alzheimer’s and dementia can access local support services including training, resources, support groups, respite care, housekeeping and home maintenance services.|
|Opening Minds through Art (OMA)|
|513-529-2914||Opening Minds through Art (OMA) is an award-winning, intergenerational art program for seniors with Alzheimer’s disease and other forms of dementia that offers opportunities for creative self-expression and social engagement.|
|Music and Memory|
|800-266-4346||The program seeks to help seniors who experience cognitive and physical challenges to find meaning and connection in their lives through the healing power of music. The state-wide intuitive is a partnership between the Ohio Department of Aging (ODA) and Office of the State Long-term Care Ombudsman and offered in 250 facilities across Ohio.|