Ohio State

(Information included from the Ohio Department of Ageing)

Licensure of Adult Care Facilities and Adult Foster Homes - Also RCF Residential Care Facilities.

Adult Care Facilities (ACFs) and Adult Foster Homes (AFoHs) are residential care homes licensed by OhioMHAS for the purpose of providing accommodations, supervision and personal care services to unrelated adults. Facilities receive a two-year license to operate after complying with the statutory requirements prescribed in the Ohio Revised Code and the rules set forth in the Ohio Administrative Code. Operators must undergo a comprehensive onsite inspection of the home in which inspectors verify the safe and sanitary condition of the facility, the capability of the operator and staff to meet their responsibilities in providing supervision and personal care services and the appropriateness of the placement of each resident in the adult care setting. ACFs and AFoHs that serve residents with serious mental illness have an additional obligation by rule to have staff and managers oriented to the care and supervision needs of these residents and to require specific training on an annual basis relevant to persons with a diagnosis of mental illness residing in the facility.





Alternative Housing

A variety of living options are available for older Ohioans. Alternatives include:

  • Senior Apartments - Private apartments restricted to seniors offer residents the independence they desire while providing a more controlled community environment, freedom from the responsibility of property maintenance and amenities designed for older aduls. Optional services may be available for an additional fee, such as housekeeping, dining and transportation. Some properties offer federal rent subsidies for eligible low income seniors, and may have a waiting list.
  • Congregate and retirement housing - Residents in these apartment facilities live independently but also receive some services such as a daily meal with other tenants. Some may be rent-subsidized (Section 8 housing).
  • Residential Care and Assisted Living Facilities - Private suites or apartments offer congregate services, personal care and limited skilled care.
  • Continuing Care Retirement Communities - These communities offer multiple levels of care (e.g., independent living, assisted living, skilled nursing care). Thus, residents can remain in the community, even if their needs change.
  • Adult Care Facilities and Group Homes - These licensed facilities provide housing and limited personal services for three to 16 adults who typically need a high level of care but retain some level of independence.
  • Nursing Homes - Licensed facilities offer residents personal care and skilled nursing care 24 hours a day. They may also provide room and board, supervision, medication, therapies, rehabilitation and other services.


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