Private pay, Ohio's Medicaid HCBS waivers (PASSPORT, the Assisted Living Waiver, MyCare Ohio), VA Aid and Attendance, and long-term care insurance.
Ask the case manager directly which facilities have actually said yes, not just which ones received an inquiry. A referral sent does not mean a bed accepted, and the accepted list is the only one that matters for a real discharge plan.
Separate what is genuinely unsafe -- a stove left on, a missed week of medications, a fall nobody was told about -- from what is simply untidy or different from how you'd do things. Rule out reversible causes like a urinary tract infection or medication interaction before assuming a permanent decline.
Treat the fall as a signal rather than an isolated accident -- it's one of the strongest predictors of another fall. Get the cause investigated (medication, vision, inner-ear issues), fix obvious environmental hazards, and watch for fear of falling causing your parent to move less, which itself increases future fall risk.
Slow down -- very little has to be decided immediately. Get the specific diagnosis (Alzheimer's, vascular, Lewy body and frontotemporal dementia all progress differently), put legal paperwork in place while capacity is still clear, and contact the Council on Aging of Southwestern Ohio for guidance specific to your county.
Exit-seeking behavior converts a supervision problem into a genuine safety problem, and it's one of the clearest signals that staying at home is no longer viable without significant additional support or a move to a secured setting.
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