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Other Senior care options in Ohio:

Best Assisted Living in Ohio

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 661 homes in Ohio

Sources: CMS Centers for Medicare and Medicaid Services, and Ohio Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Assisted Living facilities in Ohio.

Watch this Video to see Ohio's Top-rated Senior Communities

Compare Assisted Living around Ohio The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.

Click column headers to sort
Ohio Living Rockynol
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Akron (Highland Square)
79No 65 -A+-874
Eden Vista Stow
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Stow (Huntington Park)
81Yes 44 Studio / 1 Bed-Alicia Davies82-
The Ashford of Mt. Washington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Cincinnati (Mount Washington)
88Yes 43 Studio--73-
Ashford of Grove City
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Grove City
85Yes 58 Studio / Suite / 1 Bed--83-
The Village of St. Edward at Green
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Akron (Fortuna Drive)
76No 30 1 Bed / 2 Bed--87-
The Landing of Stow
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Stow (Huntington Park)
81No 18 Private RoomsA+Alicia Davies82-
AVIVA Hills
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Canton
82Yes 60 Studio / 1 Bed-Shelly Williams873
Hilliard Assisted Living and Memory Care
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hilliard
100No 27 Studio / 1 Bed / 2 Bed--91-
The Woodlands of Hamilton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Hamilton
78Yes 49 Studio / 1 Bed / 2 Bed--86-
Jennings at Brecksville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Brecksville
84No 49 Studio / 1 Bed-Sarah Barger863
Shawnee Estates Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Xenia
93No 18 Studio / 1 Bed / 2 Bed--731
Bickford of Lancaster
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lancaster (Wacker Heights)
92Yes 8 Private Rooms / Semi-Private RoomsA+-892
Ashford on Broad
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Columbus (Whitehall)
105Yes 36 Studio / 1 BedA+-925
Scarlet Oaks
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Cincinnati (Clifton)
87No 13 Private RoomsA+Tunecia Campbell80-
Bickford of Middletown
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Middletown
101Yes 4 Private Rooms--871
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Overview of Scott‘s Place

A cozy and tightly-knit community for seniors in the city, Scott’s Place is an affordable senior living home offering specialized assisted living support in Lancaster. The community boasts a secure and comfortable environment where many residents and their families feel they belong, thanks to the warm and welcoming atmosphere the home holds.

The senior living home ensures a place for seniors to thrive with full support, flexibility, and comfort in a home-like setting. They provide all-inclusive amenities such as a dining room, outdoor spaces, concierge, and housing accommodations (transportation, maintenance, ADLs). The home also provides assisted living for seniors with Alzheimer’s and dementia, physician check-ups, and other healthcare services.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Building Type: Single-story

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Contact Scott‘s Place

Overview of Francesca Residence

Francesca Residence is an assisted living community in Akron, Ohio, designed to provide residents with a tranquil and picturesque environment. This assisted living community offers its residents a range of options, ensuring their lifestyle quality is perfected.

The residents can enjoy various social activities that cater to their old and new interests.  The Francesca Residence offers easy access to Akron’s dining, entertainment, parks, and essential establishments, making it simple for locals to acquire additional services. Additionally, senior residents are encouraged to personalize and decorate their suites with their favorite furnishings from home, making it a comfortable and familiar space.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: 3-story

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Overview of The Grove at Oakleaf Village of Sylvania

Located in Toledo, The Grove at Oakleaf Village is a remarkable memory care community, earning the prestigious distinction of being rated #1 in the city. Purposefully constructed to cater to the distinctive requirements of individuals with age-related dementia, Alzheimer’s, and other memory care needs, The Grove offers an exceptional environment.
This assisted living community’s layout revolves around cozy neighborhoods, each with a central kitchen and inviting family-style dining space. Beyond its appearance, The Grove embodies an authentic home-like atmosphere, fostering a sense of familiarity and comfort. The resident-centered approach reflects their commitment to nurturing familial bonds, where senior residents become integral to a more prominent supportive family.

Contact The Grove at Oakleaf Village of Sylvania

Overview of The Christian Village at Mt. Healthy

The Christian Village at Mt. Healthy is a resident-centered senior living community. Elders seeking retirement care services will find a haven for an enriched and fulfilling lifestyle. The faith-based approach to senior care focuses on comfort and comprehensive care to help seniors fulfill a purposeful life as they continue living in a nurturing environment.

The Christian Village services promote a continuum of growth and meaningful experiences that meet the unique needs of each individual. The senior living community is described as flexible and will adjust to its residents’ needs–activities, programs, stunning living spaces, and a 24-hour team of dedicated professionals.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: 3-story

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Contact The Christian Village at Mt. Healthy

Overview of Monterey Health & Rehabilitation Center

Monterey Health and Rehabilitation Center offers assisted living services for long-term care residents. The facility has an exceptional care staff committed to providing the best care possible for its residents. With a particular emphasis on post-acute rehabilitation, assisted living, and memory care services, seniors will find an efficient and results-driven approach to a fast recovery.

Monterey Health and Rehabilitation Center heeds a nurturing environment that cultivates definite solutions to individual needs for comfort and relaxation. Skilled nursing services include medication management, nutritional therapies, respite care, and hospice services. Rehabilitative programs include speech, occupational, and physical therapies.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Private Rooms

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Building Type: Single-storey

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Contact Monterey Health & Rehabilitation Center

Overview of Stafford Village

Stafford Village is a small senior living community that boasts an active lifestyle in an apartment complex exclusively for 62+ seniors. The retirement home encourages its seniors to maintain independence while receiving exceptional care from compassionate staff. The compassionate staff truly cares about its residents and families by creating a welcoming and comfortable environment that helps residents feel more comfortable.

Under the management of the National Church Residences, Stafford Village provides a list of comprehensive amenities and services that help make the lives of its residents hassle-free, including 24-hour care and supervision, balanced meals provided, engaging scheduled activities, a library, a laundry facility, a picnic area, and a game room.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Studio / 1 Bed

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Building Type: Single-story

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Contact Stafford Village

Overview of Hoover Haus

Hoover Haus is a novel senior living community in Grove City, OH, offering assisted living services. As a family owned and operated community, Hoover Haus guarantees personalized care services delivered in a compassionate and friendly environment that fosters strong and meaningful connections. The community provides its residents with compassionate caregivers that work hard to provide residents with personalized care and support that empowers them to continue living independently.

In addition to the peace-of-mind of having on-site nursing, residents are provided with vibrant activities and delicious meals to provide residents with overall enrichment of their well-being. Here, residents live life without the hassles of daily chores and household maintenance with an attentive team that handles it for them. With an intimate living environment, compassionate care, and friendly residents, the community warrants an excellent and peaceful living experience.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Building Type: Single-story

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Contact Hoover Haus

Overview of The Wellington at Dayton

Let go of your worries with the trusted senior living community of The Wellington at Dayton located in the beautiful setting of West Alex Bell, Dayton, OH, offering assisted living, independent living, memory care, and temporary stay. With various cozy and purposely designed one-bedroom residences, seniors enjoy unmatched comfort and convenience. A competent and well-trained team goes above and beyond to help seniors maximize their independence while receiving top-notch care and assistance for their special needs and aspirations.

Ideally placed between three the cities of Indianapolis, Cincinnati, and Columbus, The Wellington at Dayton strives to provide a haven for seniors to enjoy their best years. Meticulously prepared dining options are available for seniors to indulge in healthy and delicious meals. The Wellington at Dayton is great for seniors who want to make the most out of their retirement with its amazing amenities and vibrant community.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: 1 Bed / 2 Bed

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Building Type: 2-story

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Contact The Wellington at Dayton

Lincoln Crawford Care Center

1346 Lincoln Ave, Cincinnati, OH 45206
Overview of Lincoln Crawford Care Center

Backed with years of experience in providing exceptional medical services, Lincoln Crawford Care Center in Cincinnati, Ohio, is a leading senior care provider that provides short-term rehabilitation, long-term care and respite stays. The community ensures all of residents’ care needs are met with individualized care plans overseen by a dedicated and experienced team of carers and nurses. Residents’ accommodations are designed to provide utmost comfort with access to WiFi, in-room phone service, and an in-suite flat-screen TV with cable for entertainment.

At Lincoln Crawford Care Center, residents will never get bored while recovering with an array of activities and amenities. Residents can enjoy a breath of fresh air in cozy outdoor seating areas, pamper themselves with a new look at the on-site salon, or join weekly outings, religious services, socials, and meetups. Gourmet meals tailored to residents’ dietary needs and preferences are served to ensure residents have the nourishment and energy they need for a fast recovery.

What does this home offer?

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: 3-story

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Contact Lincoln Crawford Care Center

Overview of Primrose Retirement Community of Lancaster

Primrose Retirement Community of Lancaster is one of the city’s best independent living, assisted living, and memory care communities. The senior living home programs and activities help individuals develop an active lifestyle and hassle-free living while maintaining independence. Holistic wellness is the goal of the dedicated team of professionals; they ensure that the vibrant home-like atmosphere presents a feeling that elevates their daily living.

Community features include a billiards room, a computer lounge, a chapel, a library, a salon, and a quiet area. Services include handicapped-accessible features, housekeeping, an emergency response system, and washer/dryer hookups. The luxury retirement home’s signature programs include the Primrose Life Enrichment, Primrose Telehealth for Seniors, and the Silver Lace Memory Care programs.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 497 / 548 / 811 / 1,018 - 1,068 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

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Contact Primrose Retirement Community of Lancaster

Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

Weighting overview

35%
Resident Experience
25%
Regulatory
15%
Visual Media
10%
Website
10%
Stability
5%
Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

Includes Review Sentiment Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

Includes State Inspections Citations/Inspection % Inspections w/ Citations Complaint Visits Accreditations BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

Includes Video Tours Virtual Walkthroughs Photo Quantity Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

Includes Website Content Mobile Usability Staff Info Available Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

Includes Occupancy Rate Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

Includes Walk Score Pricing Transparency
Who we are

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We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

Frequently Asked Questions about Assisted Living in Ohio

What's the difference between assisted living and memory care in Ohio?

Assisted living in Ohio supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Ohio?

Assisted living in Ohio is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Ohio Medicaid cover assisted living?

Ohio Medicaid does not directly pay room-and-board for assisted living, but most states (including Ohio) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 33 assisted living facilities in Ohio. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Ohio?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Ohio, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Ohio?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.