Free senior care guidance for Indianapolis-area families. No cost to you, ever.
Call (463) 208-0977
Indy Senior AdvisorPeople • Places • Possibilities

Independent Living vs. Assisted Living

Independent living is generally unlicensed housing in Indiana; assisted living is licensed as a Residential Care Facility (RCF).

HomeComparisonsIndependent Living vs. Assisted Living
Short answer

Independent living in Indiana is generally unlicensed housing -- apartments or cottages with dining and activities but no personal care. Assisted living communities are licensed by the Indiana Department of Health as Residential Care Facilities and provide medication administration and help with daily activities.

What changes between the two

Because independent living involves no personal care, it typically requires no state license at all. Assisted living's RCF license under 410 IAC 16.2-5 requires medication administration and ADL help to be delivered by qualified staff, under state inspection.

Campuses that combine both

Several Indianapolis-area campuses -- including communities in Carmel, Fishers and Zionsville -- offer both independent and assisted living on one site, letting a resident move between levels without changing addresses. Ask directly whether that transition is guaranteed or merely available if space allows, since the two are very different promises.

How Indiana licenses assisted living. Indiana licenses assisted living as a Residential Care Facility (RCF) under 410 IAC 16.2-5 -- one license type, not tiered like Texas's Type A/B. Read the full explanation →

Questions families ask

Which Indianapolis-area hospital systems most often discharge patients to senior care?

IU Health, Ascension St. Vincent, Community Health Network, Franciscan Health and Eskenazi Health handle the bulk of Indianapolis-area discharge planning, alongside Hendricks Regional Health, Riverview Health, and Hancock Regional Health in the collar counties.

Can I push back on a hospital discharge date?

Yes, and it is usually less fixed than it sounds, particularly if no safe plan exists yet. Ask the case manager directly what happens if no placement is confirmed by the target date, and involve the hospital's patient advocate if the timeline feels unsafe.

How do I know when it's no longer safe for a parent to live alone?

Look for specific, dated incidents rather than a general impression: a missed medication week, an unreported fall, the stove left on, or a house that has become unsafe rather than merely untidy. Rule out reversible causes first -- a urinary tract infection, medication interaction, or untreated hearing loss can all mimic decline.

What should I do after a parent's first fall?

Treat it as a signal, not an accident -- a first fall is one of the strongest predictors of the next one. Get the cause investigated (medications, vision, inner-ear issues), fix the immediate environment, and ask CICOA Aging & In-Home Solutions about equipment-lending programs.

Not sure where to start?

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

Find care options
Find senior care — free