The 10 Best Nursing Homes in Dayton, Ohio for 2023
Dayton is a bustling metropolitan city in Ohio that’s ideal for veterans due to the tax laws in the state. In addition to being an affordable area to live, there are also 29 hospitals within close range of the city center. The Dayton VA Medical Center, The Rehabilitation Institute of Ohio and Miami Valley Hospital have good reputations, with the latter coming first in the U.S. News list of hospitals in the city. Despite a relatively low cost of living in Dayton, nursing home costs are quite high.
According to Genworth’s 2020 Cost of Care Survey, the national average price of a semiprivate room in a nursing home is $7,756, whereas it’s almost $1,000 more in Dayton, at $8,699. However, older adults in nursing homes can expect around-the-clock access to skilled medical care from a registered nurse as well as help with daily activities. Seniors who don’t require 24/7 skilled care can also consider home health care or assisted living, which are cheaper and less intensive.
This guide explores the price of nursing homes in Dayton and Ohio in comparison with other types of elder care and provides some useful local resources for seniors.
Directory of Nursing Homes in Dayton, OH
Stonespring Skilled Nursing Facility
4000 Singing Hills Blvd., Dayton, OH, 45414
Too bad you can’t leave a zero star review. My advise would be don’t leave your loved one at Stonespring. They have no pride in how their facility looks like to outsiders. If the did they wouldn’t lea
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Too bad you can’t leave a zero star review. My advise would be don’t leave your loved one at Stonespring. They have no pride in how their facility looks like to outsiders. If the did they wouldn’t leave trash laying on the floors of not only the residents rooms but also the hallways and the elevator. My sister did a surprise visit during therapy and a gentleman told them they were getting mom up wrong. Moms wound became infected when a compression sock was left on causing the wound to drain leaving it dirty with stains on it (I have pictures on my phone). The drainage became infected. Mom had to go to the er because she had a uti, 2 blood clots and strep A in her blood stream. The wound still did not heal causing the hardware to became infected. Which then had to be removed putting her recovery back to square one. They "misplaced" a check. Then NEVER called me to let me know that they found it. I had to check with the bank to find out what happened. Poor customer service. I am extremely frustrated and angry with the treatment my mom received. Leaving mom out in the hallway for 2 hours waiting on a transfer bus that wasn’t even coming that day. Then throwing her clothes back instead of putting them up neatly. When I asked the aide why she didn’t wonder where I was at she coped on attitude with me. We never saw her again for the rest of the time I was there.
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Too bad you can’t leave a zero star review. My advise would be don’t leave your loved one at Stonespring. They have no pride in how their facility looks like to outsiders. If the did they wouldn’t lea
… (read more)
Too bad you can’t leave a zero star review. My advise would be don’t leave your loved one at Stonespring. They have no pride in how their facility looks like to outsiders. If the did they wouldn’t leave trash laying on the floors of not only the residents rooms but also the hallways and the elevator. My sister did a surprise visit during therapy and a gentleman told them they were getting mom up wrong. Moms wound became infected when a compression sock was left on causing the wound to drain leaving it dirty with stains on it (I have pictures on my phone). The drainage became infected. Mom had to go to the er because she had a uti, 2 blood clots and strep A in her blood stream. The wound still did not heal causing the hardware to became infected. Which then had to be removed putting her recovery back to square one. They "misplaced" a check. Then NEVER called me to let me know that they found it. I had to check with the bank to find out what happened. Poor customer service. I am extremely frustrated and angry with the treatment my mom received. Leaving mom out in the hallway for 2 hours waiting on a transfer bus that wasn’t even coming that day. Then throwing her clothes back instead of putting them up neatly. When I asked the aide why she didn’t wonder where I was at she coped on attitude with me. We never saw her again for the rest of the time I was there.
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Village at the Greene
4381 Tonawanda Trail , Dayton, OH, 45430
My friend was at Village at the Greene just this year. She had hip surgery, so she was in rehab. The facility was very nicely decorated, well laid out, and easily accessible. The upkeep was great too.
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My friend was at Village at the Greene just this year. She had hip surgery, so she was in rehab. The facility was very nicely decorated, well laid out, and easily accessible. The upkeep was great too. The staff was very good, very concerned, and very helpful. They had lots of activities and places where people could have private conversations. They even had a little dining room in each wing. If you were able to, you could go out and eat there. They prepared the food in that general area too.
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My friend was at Village at the Greene just this year. She had hip surgery, so she was in rehab. The facility was very nicely decorated, well laid out, and easily accessible. The upkeep was great too.
… (read more)
My friend was at Village at the Greene just this year. She had hip surgery, so she was in rehab. The facility was very nicely decorated, well laid out, and easily accessible. The upkeep was great too. The staff was very good, very concerned, and very helpful. They had lots of activities and places where people could have private conversations. They even had a little dining room in each wing. If you were able to, you could go out and eat there. They prepared the food in that general area too.
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Aventura at Carriage Inn
5040 PHILADELPHIA DRIVE, Dayton, OH, 45415
I was a resident there following a total knee replacement for physical therapy. I can’t say enough good things about the physical therapy department!! Especially Emma!! She pushed me to my limits ever
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I was a resident there following a total knee replacement for physical therapy. I can’t say enough good things about the physical therapy department!! Especially Emma!! She pushed me to my limits every day but she helped me achieve my goals so I could go home. My only complaint about this facility is the FOOD!!! It wasn’t the Cook’s fault. They did the best they could with what they had. But irregardless of that I will be returning when I get my other knee done. Loved the staff. They went above and beyond for me. Would definitely recommend if you’re needing an awesome physical therapy rehab. I had a large private room.
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I was a resident there following a total knee replacement for physical therapy. I can’t say enough good things about the physical therapy department!! Especially Emma!! She pushed me to my limits ever
… (read more)
I was a resident there following a total knee replacement for physical therapy. I can’t say enough good things about the physical therapy department!! Especially Emma!! She pushed me to my limits every day but she helped me achieve my goals so I could go home. My only complaint about this facility is the FOOD!!! It wasn’t the Cook’s fault. They did the best they could with what they had. But irregardless of that I will be returning when I get my other knee done. Loved the staff. They went above and beyond for me. Would definitely recommend if you’re needing an awesome physical therapy rehab. I had a large private room.
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Widows Home of Dayton
50 S Findlay St, Dayton, OH, 45403
I was at Widows Home of Dayton for a long time. It was good and they’re very professional. They had bingo, arts and crafts, and church. If you were a permanent resident, you had to share a room. It wa
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I was at Widows Home of Dayton for a long time. It was good and they’re very professional. They had bingo, arts and crafts, and church. If you were a permanent resident, you had to share a room. It was nothing on a grand scale, but my room was kept clean. The dining area was always kept nice and clean, and the food was good.
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I was at Widows Home of Dayton for a long time. It was good and they’re very professional. They had bingo, arts and crafts, and church. If you were a permanent resident, you had to share a room. It wa
… (read more)
I was at Widows Home of Dayton for a long time. It was good and they’re very professional. They had bingo, arts and crafts, and church. If you were a permanent resident, you had to share a room. It was nothing on a grand scale, but my room was kept clean. The dining area was always kept nice and clean, and the food was good.
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The Sanctuary at Wilmington Place
264 wilmington avenue, Dayton, OH, 45420
The Sanctuary at Wilmington Place, located in Dayton, Ohio, offers tiered levels of care to help preserve independent living. Residents and visitors rave about the sparkling-clean facilities and level
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The Sanctuary at Wilmington Place, located in Dayton, Ohio, offers tiered levels of care to help preserve independent living. Residents and visitors rave about the sparkling-clean facilities and levels of attention devoted to every person in the community. Regular activities include everything from card nights and bingo to weekly shopping trips, all with transportation provided. With a small kitchenette in every unit, community members can enjoy prepping a favorite recipe or sitting down to meals in the dining room and enjoying a chef-prepared meal. Staff is considered to be friendly and well-informed.
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The Sanctuary at Wilmington Place, located in Dayton, Ohio, offers tiered levels of care to help preserve independent living. Residents and visitors rave about the sparkling-clean facilities and level
… (read more)
The Sanctuary at Wilmington Place, located in Dayton, Ohio, offers tiered levels of care to help preserve independent living. Residents and visitors rave about the sparkling-clean facilities and levels of attention devoted to every person in the community. Regular activities include everything from card nights and bingo to weekly shopping trips, all with transportation provided. With a small kitchenette in every unit, community members can enjoy prepping a favorite recipe or sitting down to meals in the dining room and enjoying a chef-prepared meal. Staff is considered to be friendly and well-informed.
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Mercy Siena Gardens
6125 N MAIN STREET, Dayton, OH, 45415
My mom stayed in Mercy Siena Woods for about seven months. It was OK, but they were short on employees. Also, the room was very dim, not very inviting, gloomy, and depressing. There was older furnitur
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My mom stayed in Mercy Siena Woods for about seven months. It was OK, but they were short on employees. Also, the room was very dim, not very inviting, gloomy, and depressing. There was older furnitures too. However, I think my mom enjoyed the activities and the socialization; they did what they could. They celebrated birthdays, they did Bingo, different people came in and did their nails and their hair, and they had a chapel there. They did do something to create a community there.
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My mom stayed in Mercy Siena Woods for about seven months. It was OK, but they were short on employees. Also, the room was very dim, not very inviting, gloomy, and depressing. There was older furnitur
… (read more)
My mom stayed in Mercy Siena Woods for about seven months. It was OK, but they were short on employees. Also, the room was very dim, not very inviting, gloomy, and depressing. There was older furnitures too. However, I think my mom enjoyed the activities and the socialization; they did what they could. They celebrated birthdays, they did Bingo, different people came in and did their nails and their hair, and they had a chapel there. They did do something to create a community there.
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Vienna Springs Health Campus
2510 Vienna Pkwy, Dayton, OH, 45459
My brother has been a resident at Vienna Springs for 6 months. This is a beautiful new facility. He’s in a double room with a roommate. I love the fact that the room includes a large walk in bathroom
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My brother has been a resident at Vienna Springs for 6 months. This is a beautiful new facility. He’s in a double room with a roommate. I love the fact that the room includes a large walk in bathroom with a shower. However, one side of this particular floorplan is much smaller than the other. I chose the smaller part because it’s at the door. My brother is in a wheelchair making his coming and going easier. The room comes with a phone, flat screen TV and a very nice recliner. There’s also a wardrobe and a four drawer dresser for clothing. The staff is very welcoming, from the director to the aids. Concerns are taken care of in a timely minor. I requested a care team meeting to ask how to get my brother more involved in activities instead of spending so much time in front of the TV watching sports and movies (which he loves to do). Now he is involved in activities and making new friends which he loves more. A staff person will bring him so he can attend. My brother enjoys the food. The culinary chef came to Bill’s room shortly after he arrived to ask what his favorite foods were. Also every Friday is Happy Hour. The food and drinks are delicious. And the first Sunday of every month there’s a Sunday brunch where family members are welcomed. I feel so much is done to help residents experience a normal home life. There are trips into the community that Bill can’t attend right now. However, this spring hopefully I can make arrangements to go along so Bill can be involved. Both Brother Bill and I see a long happy life at Vienna Springs thanks to this caring staff. A special thanks to Kristen, Kourtney and Holly.
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My brother has been a resident at Vienna Springs for 6 months. This is a beautiful new facility. He’s in a double room with a roommate. I love the fact that the room includes a large walk in bathroom
… (read more)
My brother has been a resident at Vienna Springs for 6 months. This is a beautiful new facility. He’s in a double room with a roommate. I love the fact that the room includes a large walk in bathroom with a shower. However, one side of this particular floorplan is much smaller than the other. I chose the smaller part because it’s at the door. My brother is in a wheelchair making his coming and going easier. The room comes with a phone, flat screen TV and a very nice recliner. There’s also a wardrobe and a four drawer dresser for clothing. The staff is very welcoming, from the director to the aids. Concerns are taken care of in a timely minor. I requested a care team meeting to ask how to get my brother more involved in activities instead of spending so much time in front of the TV watching sports and movies (which he loves to do). Now he is involved in activities and making new friends which he loves more. A staff person will bring him so he can attend. My brother enjoys the food. The culinary chef came to Bill’s room shortly after he arrived to ask what his favorite foods were. Also every Friday is Happy Hour. The food and drinks are delicious. And the first Sunday of every month there’s a Sunday brunch where family members are welcomed. I feel so much is done to help residents experience a normal home life. There are trips into the community that Bill can’t attend right now. However, this spring hopefully I can make arrangements to go along so Bill can be involved. Both Brother Bill and I see a long happy life at Vienna Springs thanks to this caring staff. A special thanks to Kristen, Kourtney and Holly.
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Friendship Village
5790 Denlinger Road, Dayton, OH, 45426
They answer Friendship Village, but are the most unfriendly community I have ever been to. You make a call, they will hardly pick the call, and will never return a missed call. They left my mother wit
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They answer Friendship Village, but are the most unfriendly community I have ever been to. You make a call, they will hardly pick the call, and will never return a missed call. They left my mother with a terrible bed sore after spending three weeks in their facility. Caused me to cry for two weeks because I was unable to speak with my mother. I pray that the hardship they gave to my mother will visit everyone of them at some point in their life. A no go facility.
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They answer Friendship Village, but are the most unfriendly community I have ever been to. You make a call, they will hardly pick the call, and will never return a missed call. They left my mother wit
… (read more)
They answer Friendship Village, but are the most unfriendly community I have ever been to. You make a call, they will hardly pick the call, and will never return a missed call. They left my mother with a terrible bed sore after spending three weeks in their facility. Caused me to cry for two weeks because I was unable to speak with my mother. I pray that the hardship they gave to my mother will visit everyone of them at some point in their life. A no go facility.
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Maria-Joseph Nursing and Rehabilitation Center
4830 Salem Avenue, Dayton, OH, 45416
I chose Maria-Joseph Nursing and Rehabilitation Center because it was close to my home. My room is nice and everything is provided, but they took away my physical therapy, and I need it. They’re short
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I chose Maria-Joseph Nursing and Rehabilitation Center because it was close to my home. My room is nice and everything is provided, but they took away my physical therapy, and I need it. They’re short-staffed, but they do take care of me pretty well. The food is always cold.
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I chose Maria-Joseph Nursing and Rehabilitation Center because it was close to my home. My room is nice and everything is provided, but they took away my physical therapy, and I need it. They’re short
… (read more)
I chose Maria-Joseph Nursing and Rehabilitation Center because it was close to my home. My room is nice and everything is provided, but they took away my physical therapy, and I need it. They’re short-staffed, but they do take care of me pretty well. The food is always cold.
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Graceworks at Home
6451 Far Hills Avenue, Dayton, OH, 45459
Bethany Lutheran Village is located in the Dayton suburb of Centerville, Ohio, near Interstate 675 and the Cross Pointe Shopping Center. Visitors praise the staff for their welcoming and positive deme
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Bethany Lutheran Village is located in the Dayton suburb of Centerville, Ohio, near Interstate 675 and the Cross Pointe Shopping Center. Visitors praise the staff for their welcoming and positive demeanor and are pleased with the care their loved ones receive. They are also impressed with the impeccable cleanliness of the facility, and residents have the option of choosing a villa, cottage or apartment. The dining area offers formal and informal settings for meals, which are prepared on-site by the property’s executive chef. Activities are plentiful and include exercise programs, writing clubs and guest lectures.
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Bethany Lutheran Village is located in the Dayton suburb of Centerville, Ohio, near Interstate 675 and the Cross Pointe Shopping Center. Visitors praise the staff for their welcoming and positive deme
… (read more)
Bethany Lutheran Village is located in the Dayton suburb of Centerville, Ohio, near Interstate 675 and the Cross Pointe Shopping Center. Visitors praise the staff for their welcoming and positive demeanor and are pleased with the care their loved ones receive. They are also impressed with the impeccable cleanliness of the facility, and residents have the option of choosing a villa, cottage or apartment. The dining area offers formal and informal settings for meals, which are prepared on-site by the property’s executive chef. Activities are plentiful and include exercise programs, writing clubs and guest lectures.
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Cottages of Clayton Inc
8212 north main street, Dayton, OH, 45415
My aunt was staying at the cottages of Clayton, in the rehab cottage, the building is out of date, very old decor.every time I came to visit my aunt the aides looked over worked, I’ve seen them was
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My aunt was staying at the cottages of Clayton, in the rehab cottage, the building is out of date, very old decor.every time I came to visit my aunt the aides looked over worked, I’ve seen them washing dishes and cleaning rooms the aide that was caring for my aunt was the same person cleaning my Aunts room “housekeeping “ the aides have many hats they’re wearing, with this being said what level of care was my aunt or current/future residents getting if the aides have many task to complete. I do not recommend this facility if your looking for your love one.
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My aunt was staying at the cottages of Clayton, in the rehab cottage, the building is out of date, very old decor.every time I came to visit my aunt the aides looked over worked, I’ve seen them was
… (read more)
My aunt was staying at the cottages of Clayton, in the rehab cottage, the building is out of date, very old decor.every time I came to visit my aunt the aides looked over worked, I’ve seen them washing dishes and cleaning rooms the aide that was caring for my aunt was the same person cleaning my Aunts room “housekeeping “ the aides have many hats they’re wearing, with this being said what level of care was my aunt or current/future residents getting if the aides have many task to complete. I do not recommend this facility if your looking for your love one.
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Liberty Retirement Community
7300 McEwen Road, Dayton, OH, 45459
Pristine Senior Living and Post-Acute Care of Dayton-Centerville (Liberty Retirement Community) is not as good as many others. The rooms are nice enough. The care is pretty decent, but they don’t ha
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Pristine Senior Living and Post-Acute Care of Dayton-Centerville (Liberty Retirement Community) is not as good as many others. The rooms are nice enough. The care is pretty decent, but they don’t have enough help. They have activities for their residents like outings and groups of people coming in for entertainment.
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Pristine Senior Living and Post-Acute Care of Dayton-Centerville (Liberty Retirement Community) is not as good as many others. The rooms are nice enough. The care is pretty decent, but they don’t ha
… (read more)
Pristine Senior Living and Post-Acute Care of Dayton-Centerville (Liberty Retirement Community) is not as good as many others. The rooms are nice enough. The care is pretty decent, but they don’t have enough help. They have activities for their residents like outings and groups of people coming in for entertainment.
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Wood Glen Alzheimer’s Community
3800 Summit Glen Drive, Dayton, OH, 45449
This place is awful. They are rude to the residents. They told my mother we can’t come down here all the time. She needed to use the bathroom and needed help. She has fallen too many times to count be
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This place is awful. They are rude to the residents. They told my mother we can’t come down here all the time. She needed to use the bathroom and needed help. She has fallen too many times to count because she needs aid to get in and out of her wheelchair. Her things were stolen. Clothes(which had her name in) wedding ring and glasses. They really don’t have that many activities to keep them busy. Most of the time you see the residents just sitting and doing nothing. The bathrooms in the rooms are dirty. I wouldn’t recommend this place to anyone.
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This place is awful. They are rude to the residents. They told my mother we can’t come down here all the time. She needed to use the bathroom and needed help. She has fallen too many times to count be
… (read more)
This place is awful. They are rude to the residents. They told my mother we can’t come down here all the time. She needed to use the bathroom and needed help. She has fallen too many times to count because she needs aid to get in and out of her wheelchair. Her things were stolen. Clothes(which had her name in) wedding ring and glasses. They really don’t have that many activities to keep them busy. Most of the time you see the residents just sitting and doing nothing. The bathrooms in the rooms are dirty. I wouldn’t recommend this place to anyone.
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Nursing Home Costs in Dayton, OH
A private room in a nursing care home in Dayton costs $9,825, whereas seniors can expect to pay $8,699 for a semiprivate residence in the city.
The Cost of Nursing Home Care in Nearby Cities
When comparing the price of semiprivate rooms in nursing care homes, Dayton comes out as pretty expensive. At $8,699 per month, it’s almost $1,000 more expensive than the U.S. average of $7,756. The mean cost of all the cities in Ohio is even lower, at $7,184.
In fact, Dayton is significantly more expensive than most other areas in Ohio. The next priciest city for nursing care is Cleveland, but it costs $851 less per month, at $7,848. Canton nursing care costs significantly less than the national and state average, at $6,540. Columbus ($6,996) is also more affordable than average, whereas Youngstown’s price ($7,300) sits between the state and U.S. averages.
The Cost of Other Types of Senior Care
Choosing a facility or care option for seniors isn’t a decision to take lightly, and it’s important to pay attention to details such as cost. Nursing home care is the most expensive and expansive option, with the average monthly price of a private room sitting at $9,825 and a semiprivate room at $8,699. Assisted living in Dayton is significantly more affordable, costing $5,245 a month on average. Home health care and home care are the cheapest options, at a monthly price of $4,767 and $4,763 respectively.
Financial Assistance for Nursing Home Care in Dayton, OH
Many seniors and their families use some form of financial assistance to help them pay for nursing care. The main options available are Medicare, Medicaid, and veterans benefits. These programs can be complicated, especially when it comes to benefit terms. Below, we give a brief overview of how these programs may be used towards paying for skilled nursing care.
- Medicare: Medicare will typically cover all skilled nursing costs for the first 20 days of one’s stay in a nursing home and a portion of the costs until day 100. After 100 days in a skilled nursing facility, Medicare will not cover any part of the cost of the stay. While this is adequate when short-term care is needed, those in need of long-term care will need to either pay out-of-pocket or use another source of financial assistance.
- Medicaid: Medicaid covers most of the costs of living in a skilled nursing facility for those who qualify. Care, room, and board are covered with no time limit, but residents may be charged for extras like specially prepared food or cosmetic services. Medicaid eligibility standards are strict and complex, so not all seniors are eligible for Medicaid benefits.
- Veterans Benefits: Veterans receiving a VA pension may also be eligible for the Aid and Attendance benefit administered by the VA. Aid and Attendance is a monthly allowance that beneficiaries may use to pay for their long-term care, including skilled nursing care.
If these options aren’t available to you, check if your loved one has long-term care insurance or contact your Area Agency on Aging to ask about any local financial assistance programs for seniors.
Free Resources for Seniors in Dayton, OH
The following resources can help older adults retain their independence and make the most out of community life in Dayton. Some of them provide access to benefits that could contribute to seniors saving money for their ideal choice of nursing home when the time comes.
| Resource | Contact | Service |
| Senior Resource Connection | (937) 223-8246 | The Senior Resource Connection has been operating since 1956, and it aims to support older adults and their caregivers to ensure they live as independently and joyfully as possible. The services it offers include Meals on Wheels, congregate dining, a helpline, access to a nurse, care management, chore services and companionship programs. Low to middle-income seniors over the age of 60 can benefit most from its resources. |
| Rainbow Elder Care of Greater Dayton | (937) 623-7024 | Rainbow Elder Care of Greater Dayton is dedicated to enhancing the lives of LGBTQ seniors in the area. In addition to delivering campaigns to help raise awareness and educate the public, this group organizes social events, provides information and helps seniors gain access to services and works with researchers to make vital changes in the community. Older adults can also get access to sound and meditation therapy. |
| Area Agency On Aging Dayton | (937) 341-3000 | The Area Agency on Aging is always available to support older Dayton residents. It can help seniors gain access to case management, specialist in-home services, advocacy and benefits. Additionally, it offers several free wellness programs to encourage healthy habits and manage age-related illnesses. |
| Community Action Partnership of the Greater Dayton Area | 937-341-5000 | This nonprofit organization works closely with the local community to empower low-income individuals to be self-sufficient. Its ultimate aim is to eradicate poverty, which it does by offering a variety of services. It offers assistance with utility bills, a weatherization program, emergency services and food packages. |
Frequently Asked Questions
Is Dayton a safe place to live?
The crime rate, which is used as an indicator of how safe a particular area is, in Dayton is 387, which is above the national average of 323.
What is the traffic like in Dayton?
There is low traffic congestion with an above average crash rate of 13.
How much is housing in Dayton?
At $751, the average cost of housing in Dayton is below the nationwide average of $1,442
Does Dayton have a good job market?
Dayton offers a poor job market for older adults. There are typically less than 1 job available per worker and the rate of income inequality in the area is 0.47.
Is Dayton an accessible place to live without a vehicle?
In Dayton, 92.1% of public transportation stations and vehicles are ADA-accessible. Which is above the national average of 78.28%. On average, there are 10 local transit vehicles per hour. This is more than the national average of 8.
Does Dayton have good health care options?
Patient satisfaction, which is a key indicator of the quality of health care in an area, averages 76.2% in Dayton – this is higher the national average patient satisfaction. Additionally, there are 89 primary care physicians for every 100,000 people, which is more the national average of 82.
Is Dayton a good place to retire?
According to Caring.com’s 2022 Senior Living Report which graded 300 cities using 46 metrics across 5 categories, Dayton ranked in the top of the pack. It’s overall rank was 45th, and it scored the best in Affordability, while it’s lowest score was for Health Care.
Does Dayton have fun activities for retirees?
In Dayton, the number of parks is less than the national average. Additionally, the number of cultural, arts, and entertainment options is below the average.