Ohio caps the skilled nursing an RCF may provide at 120 days in any 12-month period per resident, under ORC 3721.011, with exceptions for physical/occupational/speech therapy and hospice residents.
What this means in practice
This cap is one of the most consequential rules families overlook when touring. It means an assisted living community, even a well-run one, is not licensed to be a permanent home for a resident whose medical needs exceed what the 120-day allowance covers. Extensions beyond 120 days are possible only under a written agreement among the resident, physician and skilled care provider, re-evaluated regularly. Ask directly on a tour what happens when this threshold approaches -- a community with no clear answer or transfer plan is a red flag, not a minor gap.
Related questions
- What license does Ohio require for assisted living, and what law covers it?
- Does Ohio require a separate certification for memory care?
- How does Ohio license nursing homes differently from assisted living?
- Is independent living licensed the same way as assisted living in Ohio?
- Where can I see a facility's Ohio inspection record before touring?