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We're stuck between two communities

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

Quick answer

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

HomeBy SituationWe're stuck between two communities

By this point you have toured enough that the buildings have merged. These are the questions that still separate them.

Short answer

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

What to do, in order

  1. Compare the all-in numbers, not the base rents. Ask each community for the total monthly cost at your parent's assessed care level, in writing.
  2. Compare the rate increase histories. Three years of actual increases from each.
  3. Compare overnight staffing, not daytime. Daytime ratios look similar everywhere. Overnight is where they diverge.
  4. Pull both state inspection records. Read the surveyor narratives rather than counting citations.
  5. Ask the Medicaid waiver question of both. If private funds might run out, a community that does not hold a waiver provider agreement is a future forced move.
  6. Go back unannounced. Same building, evening on a weekday.

Questions families ask

What's the difference between Indiana's Residential Care Facility and Comprehensive Care Facility licenses?

A Residential Care Facility (RCF) is Indiana's assisted-living-type license, covering personal care, medication administration and ADL help, not 24-hour skilled nursing. A Comprehensive Care Facility is Indiana's nursing-home license, for residents who need 24-hour licensed nursing care.

What Medicaid waiver pays for assisted living in Indiana?

Indiana's PathWays Waiver, part of the Indiana PathWays for Aging program launched July 1, 2024 for Hoosiers 60 and older, can pay for care services inside a licensed Residential Care Facility that holds a waiver provider agreement. It does not cover room and board -- that runs through a separate program, RCAP.

What is RCAP and how is it different from the PathWays Waiver?

The Residential Care Assistance Program (RCAP) is Indiana's Medicaid-funded room-and-board assistance for RCF residents. It pairs with, but is separate from, the PathWays Waiver, which pays for care services. A facility can hold a PathWays agreement, an RCAP agreement, both, or neither -- ask specifically which apply.

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