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Choosing between two kinds of care

Side-by-side answers to the decisions Miami Valley families face most.

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Which comparisons matter most under Ohio's rules?

The ones that follow Ohio's own lines: an RCF versus a nursing home (does the person need more skilled nursing than an RCF may give), an RCF with a special care unit versus one without (are secured doors needed), and paid help at home versus a move (how many hours, and what happens at night).

National websites describe care in categories that do not always match Ohio's licenses and programs, so we compare by license and payment path instead of brochure labels.

How should we use these comparisons?

Use them to settle the license type and payment route first, then use the directory to see which Greater Dayton facilities hold that license, and only then compare individual buildings on cost, staffing, inspections and survey scores.

The assisted living roster filters by county and city and sorts by beds, citations and resident satisfaction.

Who can help us weigh two options?

The Area Agency on Aging, PSA 2 (1-800-258-7277) explains programs and eligibility without charge, a physician or hospital discharge planner can say which level of care the medical needs call for, and a local senior advisor can tell you which licensed buildings fit both.

Bring a list of the daily tasks your parent needs help with, the medications, the budget and the town where the main visitor lives; with those four facts most comparisons settle quickly.

Comparisons: every guide

Assisted living or memory care: which does a Dayton parent need?

How Dayton families decide between assisted living and memory care: the Ohio license both share, special care unit disclosures, wandering, night needs, costs and when to move.

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Residential care facility or nursing home?

Choosing between an Ohio residential care facility (assisted living) and a nursing home in the Dayton area: skilled nursing limits, the 120-day rule, costs, Medicare and Medicaid, and campuses that offer both.

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Staying home with help, or moving to assisted living?

Comparing in-home care and assisted living for a Dayton-area parent: Ohio's $34-an-hour caregiver median against the $6,103 assisted living median, PASSPORT, safety at night and social isolation.

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Rehab after the hospital, or a long-term nursing home stay?

The difference between short-term rehab and long-term nursing home care in Dayton-area nursing homes: Medicare's 100-day rules, Ohio Medicaid for long stays, and how to plan the next step from a rehab bed.

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Skilled home health or non-medical home care?

The difference between skilled home health and non-medical home care in Ohio: ODH licenses, Medicare coverage, PASSPORT, costs and how Dayton families combine them after a hospital stay.

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Hospice or palliative care: what is the difference?

The difference between hospice and palliative care for Dayton-area families: eligibility, Medicare coverage, where care happens, and how to choose among ODH-licensed hospice programs in the Miami Valley.

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Not sure where to start?

Answer five questions and a local advisor will come back with senior care options in Dayton and the Miami Valley that fit your situation and budget. It is free, and there is no obligation.

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