1. Assisted Living Advocacy
Erin Pettegrew
Acting State Long-Term Care Ombudsman - Ohio

2. Level setting – what is it?
Ohio’s Residential Care Facilities
Larger assisted living, licensed by Dept of Health
Stand-alone or on campus with NHs
AL Waiver in about half
Ohio’s Residential Facilities, class 2
Small group homes, licensed by Mental Health & Addiction Services
Unlicensed foster/board & care homes
2018 National Consumer Voice Conference

3. Progress – Consumer Information.

4. RCF inspection data

5. RCF satisfaction data

6. Progress – System Coordination

7. Transition team RCFs and RF2s are part of the transition team agenda
State agency partners (regulatory, SLTCO, Medicaid, Waiver agencies)
Local ombudsmen
Coordinate outreach to
the MH boards and CMs

8. Escalated issues
All state waivers are aligning their incident reporting
Waiver administration alerted to serious citations

9. Progress - provider training
Not actual footage:

11. Ongoing concerns in RCFs
Resident Agreements
Waiver utilization
Memory care standards
24-hour nurse coverage

12. Concerns in RF2s Survey frequency and rigor
Addressing level of care provided in RF2s and unlicensed homes
APS involvement in group homes
Communication about complaints

13. Concerns for both Intermediate sanctions for providers of AL
Public misunderstanding of the service & setting