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Ohio's Memory Care Disclosure Requirement

Memory care is not a license or certification in Ohio. It is a written disclosure, and it is not inspected the way a certification would be.

HomeOhio RulesOhio's Memory Care Disclosure Requirement

“Memory care” in Ohio is a disclosure requirement, not a certification

Short answer

Ohio has no separate memory care license or state certification comparable to Texas's Alzheimer's certification. A facility that operates a special care unit, as defined in OAC 3701-16-01(LL), must provide a written disclosure, before admission or upon request, covering admission and discharge criteria, staffing, staff training, activities programming, additional costs, and the physical design of the unit.

This is the single most useful thing a Cleveland family can know before touring. Ohio has no separate memory care license and no state certification comparable to what some other states require. Any community can paint a hallway, call a wing “the neighborhood,” and market to families of someone with dementia.

What Ohio does require: a facility operating a special care unit, as defined in OAC 3701-16-01(LL) (special care unit definition) and 3701-16-07(F)(5) (disclosure requirement), must provide a written disclosure — before admission or upon request — covering admission and discharge criteria, staffing, staff dementia training, activities programming, additional costs, and the physical design of the unit.

This disclosure is a paperwork requirement, not a state inspection, survey, or certification. Because Ohio has no memory care certification lookup, families cannot verify memory care quality the way they might in Texas. The written disclosure and direct questions during a tour are the primary verification tools.

Ask for the special care unit disclosure by name. Not the RCF license — the written disclosure document. A community that operates a genuine special care unit will produce it without hesitation. Because there is no state certification lookup for memory care quality in Ohio, this document and direct questions on a tour are the real verification tools.

Source: OAC 3701-16-01(LL) (special care unit definition) and 3701-16-07(F)(5) (disclosure requirement) full text

What the disclosure actually requires

Under OAC 3701-16-07(F)(5), a facility operating a special care unit, as defined in OAC 3701-16-01(LL), must give families a written disclosure before admission or upon request. It must cover admission and discharge criteria specific to the unit, staffing and staff dementia training, activities programming, any additional costs, and the physical design of the unit.

The contrast worth knowing

Some other states, including Texas, require a separate state certification for memory care, with its own physical-plant inspection and a resident cap tied to the certificate. Ohio does not. The written disclosure is a paperwork requirement, not a survey, and there is no memory care certification lookup a Cleveland family can check the way they might check a certification elsewhere. This is a genuine gap in Ohio's consumer protection framework, not a technicality, and it means the disclosure document and direct questions on a tour are the real verification tools here.

The one question

May I see your special care unit disclosure? Not the RCF license — the written disclosure document itself. A community operating a genuine special care unit produces it without hesitation, because Ohio law requires it to exist in writing.

Questions Cleveland families ask

Are there minimum staffing rules for assisted living facilities in Ohio?

Staffing requirements are built into OAC 3701-16 and require facilities to maintain staff sufficient to meet residents' scheduled and unscheduled needs, though Ohio does not publish a single fixed resident-to-staff ratio for RCFs. Facilities must also ensure staff have training appropriate to residents' needs, including additional training obligations for staff working in a disclosed special care (memory care) unit.

Can a Cleveland assisted living resident get skilled nursing care without moving to a nursing home?

Yes, but only in a limited way. RCFs may provide skilled nursing services such as dressing changes, therapeutic diet supervision, and medication administration by licensed staff, capped at 120 days in any 12-month period under OAC 3701-16-02(D), unless the facility, resident, and physician agree in writing to extend it. Residents needing more than 8 hours a day of skilled nursing, ventilator support, or care for advanced pressure ulcers exceed what an RCF is licensed to provide.

Does Ohio's Medicaid expansion pay for a parent's assisted living or nursing home care?

No. Ohio's Medicaid expansion under the Affordable Care Act, effective January 1, 2014, covers adults age 19 to 64 up to 138 percent of the federal poverty level for acute and primary medical care. It's a completely separate pathway from the aged/blind/disabled Medicaid rules that govern nursing home and waiver eligibility for seniors. Long-term care coverage for seniors runs through Ohio's non-MAGI Medicaid rules, not the expansion population.

How does Ohio's Assisted Living Waiver work, and does it cover the full monthly bill?

The Assisted Living Waiver, administered by the Ohio Department of Aging through PASSPORT Administrative Agencies, pays for personal care and supportive services delivered inside a licensed Residential Care Facility for Medicaid-eligible adults 21 and older with a hands-on ADL need. It does not cover room and board; the resident pays that directly to the facility, capped at the SSI federal benefit rate minus a $50 personal needs allowance.

What is PASSPORT and how is it different from the Assisted Living Waiver?

PASSPORT is Ohio's flagship home and community-based Medicaid waiver, delivered through Area Agencies on Aging, designed to keep Medicaid-eligible seniors who need nursing-facility level of care living at home rather than in an institution. It covers personal care, home-delivered meals, adult day care, minor home modifications, medical transportation, and, as of October 2024, Structured Family Caregiving. Like the Assisted Living Waiver, it never pays for room and board, since it's strictly an in-home program.

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