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Memory Care: Disclosure, Not Certification, in Indiana

Indiana requires a written Alzheimer's/Dementia Special Care Disclosure under IC 12-10-5.5 -- there is no separate state memory-care certification to check for.

HomeState RulesMemory Care: Disclosure, Not Certification, in India

Memory care: disclosure, certification, or neither?

Indiana requires a written Alzheimer's and Dementia Special Care Disclosure under Indiana Code 12-10-5.5, not a separate state certification, for any community that locks or segregates a dementia-specific unit. Operational standards sit at 410 IAC 16.2-5-1.2 and 16.2-5-1.3.

The disclosure must describe the unit's staffing pattern, physical design (secured exits, alarmed doors), and training program. Direct-care staff in the unit need 12 hours of dementia-specific training initially and 6 hours annually — requirements a July 1, 2023 amendment tightened, adding fines up to $10,000 for violations.

On a tour, ask to see the disclosure document itself, by name. A community that markets “memory care” but cannot produce it, or is vague about training hours, has not met Indiana's own minimum bar.

What the disclosure must cover

Under 410 IAC 16.2-5-1.2 and 16.2-5-1.3, the disclosure describes the unit's staffing pattern, physical design (secured exits, door alarms), admission/discharge criteria specific to the unit, and its training program. Staff working directly in the unit need 12 hours of dementia-specific training initially and 6 hours annually.

What changed in 2023

A July 1, 2023 amendment strengthened training requirements and added fines up to $10,000 for violations. If a community's memory-care marketing predates that date, ask whether its disclosure and training program have been updated to the current standard.

What to ask for on a tour

Ask to see the Alzheimer's and Dementia Special Care Disclosure document itself, by name. A community that cannot produce it, or that conflates it with a state "certification" that does not exist, has not met Indiana's own minimum bar.

Questions families ask

What should I do if someone is in immediate danger?

Call 911 first. Adult Protective Services is not an emergency responder and does not dispatch immediate help -- it investigates reports after the fact. Use 911 for anything urgent, then follow up with APS or the ombudsman as appropriate.

Who has to report suspected elder abuse in Indiana?

Indiana is a mandatory-reporting state: anyone who suspects neglect, battery, or exploitation of an endangered adult (18 or older, incapacitated, and harmed or threatened) is required to report it, not just healthcare or facility staff.

My parent is being discharged from an Indianapolis hospital in 72 hours. What now?

Ask the case manager for the discharge plan in writing, confirm whether your parent was admitted as an inpatient or held under observation status (only inpatient stays count toward Medicare's skilled-nursing benefit), and ask which facilities have actually accepted the referral -- not just which ones were contacted.

Does Medicare pay for a nursing home stay after a hospitalization?

Medicare covers a limited skilled-nursing-facility stay only after a qualifying inpatient hospital admission, for rehabilitation, not long-term placement. Time spent under observation status does not count, even after multiple nights in a hospital bed -- ask the hospital directly which status applies.

Which Indianapolis-area hospital systems most often discharge patients to senior care?

IU Health, Ascension St. Vincent, Community Health Network, Franciscan Health and Eskenazi Health handle the bulk of Indianapolis-area discharge planning, alongside Hendricks Regional Health, Riverview Health, and Hancock Regional Health in the collar counties.

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