Assisted Living in Ohio

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Families looking for assisted living in Ohio (OH) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 648 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 16.7 percent of the population. A resident in an assisted living community in Ohio will pay $4,278 per month on average.

Average Monthly Costs

States near Ohio

$4,791.00 Indiana
$4,674.00 Ohio
$4,097.00 Pennsylvania
$4,000.00 US
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Ohio as $4,674. This places Ohio on the higher end of the scale at about $700 over the national average, and about $300 higher than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


Assisted Living


In-Home Care

Average Monthly Costs

Cities in Ohio

$5,791.00 Dayton
$5,461.00 Cincinnati
$4,982.00 Akron
$4,950.00 Mansfield
$4,698.00 Toledo
$4,556.00 Columbus
$4,529.00 Lima
$4,425.00 Rest Of State
$4,150.00 Canton Massillon
$3,933.00 Youngstown, Warren, Boardman
$3,715.00 Cleveland, Elyria
$3,379.00 Springfield
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Ohio. For example, assisted living rates in areas such as Dayton are at least $1,100 more than the state average of $4,674, but in areas like Youngstown, Warren, Boardman, you're saving on average $700. The most affordable region in Ohio for assisted living is Springfield at $3,379.

What You Should Know About Assisted Living in Ohio

Ohio assisted living homes are licensed as residential care facilities and are considered a less expensive and less restrictive alternative to skilled nursing homes. There are currently more than 700 assisted living properties with a residential care license. These loving communities provide personal support assistance in a home-like setting.

Financial Assistance for Assisted Living in Ohio

For Ohio seniors who find themselves without the means to pay for the care they need, there are subsidy programs available to help keep them under budget.

Assisted Living Waiver

The Assisted Living Waiver is provided through Medicaid to help pay for select services within an assisted living community. Although room and board are not covered under this program, covered services include personal care, skilled nursing, housekeeping, and medication assistance. Offsetting these costs can help bring the assisted living home's monthly cost down to stay within budget. Unfortunately, not all assisted living providers within Ohio have registered with this program, so the waiting list for these benefits is often long for certain properties.

Who Is Eligible?

The Assisted Living Waiver is available to Ohio residents over 21 years of age with a qualifying disability or anyone over the age of 65. Applicants must demonstrate a need for nursing home level of care and earn less than the $2,250 minimum monthly income. Qualified assets — or 'countable resources' — cannot exceed $2,000 for individuals.

How to Apply

Applications for the Assisted Living Waiver can be submitted through your local Area Agency on Aging Office.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Ohio

Ohio seniors can also make use of the free assistance services offered by government agencies or non-profit organizations. These organizations can often offer information and connect the elderly with additional services.

Ohio Association of Area Agencies on Aging (o4a)

This nonprofit organization advocates for Ohio seniors and provide services to the elderly and their families. There are 12 Area Agencies on Aging (AAA) within Ohio, and they each offer education and referral services.

Council on Aging of Southwestern Ohio, AAA 1

175 Tri County Parkway, Cincinnati, OH 45246
(800) 252-0155 or (513) 721-1025

Area Agency on Aging, AAA 2

40 W. Second Street, Suite 400, Dayton, OH 45402
(800) 258-7277 or (937) 341-3000

Agency on Aging, AAA 3

200 Easy High Street, Suite 2A, Lima, OH 45801
(800) 653-7277 or (419) 222-7723

Area Office on Aging of Northwestern Ohio, AAA 4

2155 Arlington Avenue, Toledo, OH 43609-0624
(800) 472-7277 or (419) 382-0624

Ohio District 5 Area Agencies on Aging, AAA 5

2131 Park Avenue West, Ontario, OH 44906-1226
(800) 860-5799 or (419) 524-4144

Central Ohio Area Agency on Aging, AAA 6

3776 S. High Street, Columbus, OH 43207
(800) 589-7277 or (614) 645-7250

Area Agency on Aging, AAA 7

160 Dorsey Drive, Rio Grande, OH 45674-0500
(800) 582-7277 or (740) 245-5306

Buckeye Hills Area Agency on Aging, AAA 8

1400 Pike Street, Marietta, OH 45750
(800) 331-2644 or (740) 373-6400

Area Agency on Aging, AAA 9

1730 Southgate Parkway, Cambridge, OH 43725
(800) 945-4250 or (740) 439-4478

Western Reserve Area Agency on Aging, AAA 10A

925 Euclid Avenue, Suite 600, Cleveland, OH 44115
(800) 626-7277 or (216) 621-8010

Direction Home Akron Canton Area Agency on Aging

1550 Corporate Woods Parkway, Uniontown, OH 44685
(800) 421-7277 or (330) 896-9172

Area Agency on Aging, AAA 11

5555 Youngstown-Warren Road, Suite 2685, 2nd Floor, Niles, OH 44446
(800) 686-7367 or (330) 505-2300

Assisted Living Laws and Regulations in Ohio

Assisted Living Service Plan Requirements

A health assessment is required for all new residents before or immediately after the move-in date. These are used to create a plan for services provided by the community. Health assessments should also be performed annually and upon any resident who has recently experienced a significant change in condition. Each assessment should include a medical history, physical and mental functionality tests and lists of all medications and diagnoses. A licensed staff member checks the resident for the ability to self-administer medication and makes the determination if reminders are sufficient or if full medication setup is required.

The resident or their responsible party may become part of a risk assessment agreement with the assisted living community. A resident has the right to decline a recommended service as long as they fully understand the health risks involved and agree to shoulder the responsibility of these risks.

Assisted Living Admission Requirements

Lengthy periods of skilled nursing care may cause a person to become ineligible to live at an assisted living residence. The maximum allowable amount of skilled care is 120 days in a 12-month period. Individuals who are bedridden, have very complex medical conditions or have severe skin ulcers may not be admitted to an assisted living residence. Exceptions are sometimes made for hospice care.

Assisted Living Scope of Care

Assisted living communities in Ohio provide personal assistance, accommodations, and supervision to seniors and disabled individuals. Most communities provide one to three meals a day, however, it is not a requirement. If meals are not provided, each room must have the necessary conveniences to prepare meals. Limited part-time nursing skills are available to residents and occasional short-term periods of skilled nursing care.

Assisted Living Medicaid Policy

Assisted Living Waivers and the Ohio's Residential State Supplemental program may help supplement the costs associated with assisted living services. Applicants must demonstrate need for care and proof of low income.

Assisted Living Facility Requirements

Medicaid waivers require the use of apartment-style units and residents have a choice of whether to share their room. State licensing rules do not insist upon apartment-style for all other residents but do require a maximum of four persons to be allowed in one unit. Occupants may share a bathroom but there must be one toilet, tub/shower or sink for every 8 people.

Meals are considered optional by the licensing board and each community may vary between providing no-meal service to three meals a day.

Medication Management Regulations

If the patient has been approved during their health assessment to self-administer their own medication, trained non-licensed staff may assist with this procedure. This could include reminders, opening containers, helping the resident organize their pills, verifying and reading labels and handing the medication to the resident.

All other residents will receive their medication from licensed personnel such as an RN, LPN, physician or certified medication aide. Licensed home health and hospice agencies may also administer medications.

Staffing Requirements

The staff at an Ohio assisted living community is comprised of an administrator and assorted direct care staff. The administrator runs the day-to-day operations and should be available at all times when not on-site. This person must work a minimum of 20 hours per week during the times of 8:00 a.m. and 6:00 p.m.

Direct care staff assist residents in their daily living activities. Communities will vary in the type of licensed staff they employ depending on the services offered. If medication administration is provided, a physician, RN or LPN under the direction of an RN must be in-house at all times.

In addition, communities may contract with a physician, psychologist and/or nurse if they have residents that need advanced care.

There are no minimum staff ratios, but the law states that each location must have sufficient direct care staff to meet each resident’s needs.

Staff Training Requirements

Ohio ensures that the residents in assisted living communities receive the best possible care by establishing a variety of training stipulations for all staff.

  • Orientation - occurs immediately upon hire and includes job responsibilities, resident’s rights, emergency preparedness and building procedures
  • Continuing education - must be completed annually and is comprised of 8 hours of training in personal care, communication and observation
  • First aid - must be completed within 60 days of hire

Additionally the administrator must complete 9 hours annually of classes on aspects of senior care and health administration

Any assisted living residence that includes memory impaired individuals requires their staff to complete 2 hours of specialty training in dealing with cognitive issues along with a 4-hour annual continuing education class.

Background Check for all ALR Staff in Ohio

All staff who have any direct contact with residents are required to apply for a background check and provide fingerprints to the Bureau of Criminal Identification and Investigation. Any staff member that has resided in the state of Ohio for less than 5 years must also apply for a background check with the Federal Bureau of Investigation.

Requirements for Reporting Abuse

In Ohio, the Adult Protective Services care about elder abuse. If at any time, you suspect abuse or neglect call 1-855-OHIO-APS (1-855-644-6277) toll-free 24/7. It is best to provide as much information as possible including name, address, age and suspected abuse.

In addition, you may file a complaint against a health-care community with the Ohio Department of Health at 1-800-342-0553.

Assisted Living Facilities in Ohio



Top-Rated Caring Stars Winners in Ohio’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


Spring Hills Middletown

Franklin, OH $

19 reviews


Independence Village of Avon Lake

Avon Lake, OH $$$$

21 reviews


Spring Hills Singing Woods

Dayton, OH $$

30 reviews


Brookdale Canton

Canton, OH $$$

17 reviews


Northgate Park

Cincinnati, OH $$

35 reviews


Brookdale Westlake Village

Westlake, OH $$

22 reviews


Brookdale Gardens at Westlake

Westlake, OH $$$

21 reviews


Reflections Retirement Community

Lancaster, OH $

9 reviews


The Kenwood by Senior Star

Cincinnati, OH $$$

12 reviews


Brookdale Englewood

Englewood, OH $$$

18 reviews