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Cleveland Senior Advisor

About Cleveland Senior Advisor

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What we do

We help families across Greater Cleveland find senior care, and we publish what we can verify about how senior care works in Ohio. That is the whole business.

How we are paid, stated plainly

Our service is free to families because senior living communities pay us a referral fee when a family we introduce moves in. We think you should know that on the first page you read rather than find it in a footer, because it is the thing most likely to bias a referral service.

Two consequences worth naming. First, we have a financial interest in you choosing a community that pays referral fees, and not every good option does. Ask us about those anyway; we will tell you what we know. Second, the fee does not vary by community in a way that should steer a recommendation, and if an advisor ever pushes a specific building without a reason that makes sense to you, push back.

Our editorial standard

We publish figures we can trace to a primary source. Where a widely-repeated number cannot be traced — Cleveland-specific cost of care data is the clearest example — we say that instead of repeating it. Where a source is disputed, we flag the dispute. This makes some of our pages less satisfying than competitors' and more useful.

What we are not

  • We are not affiliated with the Ohio Department of Health, the Ohio Department of Aging, any Area Agency on Aging, or any government agency.
  • We do not provide medical, legal or financial advice.
  • We do not operate, own or manage any senior living community.
  • We do not publish paid reviews or rankings.

Questions Cleveland families ask

What does the Ohio Department of Health license, and what law covers it?

The Ohio Department of Health (ODH) licenses Residential Care Facilities (RCFs), the single license type that covers nearly all assisted living and memory care communities in Ohio, along with nursing homes, home health agencies, and hospice. RCF licensing is governed by Ohio Revised Code Chapter 3721 and Ohio Administrative Code Chapter 3701-16. Nursing homes fall under a separate rule chapter, OAC 3701-17, so the two license types are not interchangeable.

How can I check whether a Cleveland-area assisted living community is properly licensed?

Use the ODH Licensed Facilities, Services, and Program Search tool to confirm a facility's current license status and review its inspection history. This is the state's own lookup and reflects official licensing and survey records rather than a private review site. The Ohio Department of Aging's Long-Term Care Quality Navigator can supplement this with some consumer-facing information, though it is not a CMS-style star rating.

What does it mean when a Cleveland memory care unit says it has a special care unit disclosure?

Under OAC 3701-16-07(F)(5), a Residential Care Facility that operates a special care unit, as defined in OAC 3701-16-01(LL), must provide a written disclosure covering admission and discharge criteria, staffing, staff training, programming, additional costs, and the unit's physical design. This is a paperwork disclosure requirement, not a state inspection, survey, or certification; Ohio has no separate memory care license or certification comparable to some other states.

What's the practical difference between an assisted living community and a nursing home in Ohio?

Both are ODH-licensed, but under different rule chapters: assisted living communities are licensed as Residential Care Facilities under OAC 3701-16, while nursing homes are licensed under OAC 3701-17. RCFs provide housing, supervision, and personal care, and may deliver only limited skilled nursing care, capped at 120 days in a 12-month period absent a written extension agreement. Nursing homes are built for residents needing ongoing, higher levels of skilled nursing care, including rehabilitation and more complex medical needs.

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