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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's the difference between a nursing home and assisted living in Indiana?

A nursing home is licensed in Indiana as a Comprehensive Care Facility, providing 24-hour skilled nursing care and carrying a federal CMS star rating. Assisted living is licensed as a Residential Care Facility, a lower level of care with no CMS rating.

What's the difference between hospice and palliative care?

Palliative care focuses on symptom relief and quality of life, and can run alongside curative treatment at any stage of an illness. Hospice is for a life-limiting illness when a physician expects six months or less if the disease runs its normal course, and generally means curative treatment has stopped.

What license does Indiana require for assisted living?

Indiana licenses assisted-living-type communities as Residential Care Facilities (RCF) under 410 IAC 16.2-5 and Indiana Code 16-28-2, issued by the Indiana Department of Health. It is a single license type -- Indiana does not tier assisted living into Type A/Type B categories the way Texas does.

Does Indiana require every assisted living community to be licensed?

No. Under 410 IAC 16.2-5-0.5(c), a community that provides only room, board, housekeeping and activities -- without administering medication or providing nursing care -- is not required to hold a Residential Care Facility license at all. Some buildings marketed as assisted living in Indiana may carry no state license, so always confirm directly.

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