Dayton Senior AdvisorMiami County lies north of Dayton along Interstate 75, with Troy as its seat and Piqua, Tipp City, West Milton and Covington among its towns; about 112,634 people lived there on July 1, 2025.
21.3% of residents are 65 or older and the median age is 41.8. Upper Valley Medical Center and Kettering Health Troy serve the county.
How many seniors and licensed care options does Miami County, Ohio have?
Miami County had about 23,975 residents aged 65 and older (21.3% of 112,634), including 2,741 aged 85 and older, on July 1, 2025, and ODH lists 8 licensed RCFs and 6 nursing homes there.
| Found in Miami County | Not found in Miami County | |
|---|---|---|
| Licensed with a local address (ODH) | Assisted living (RCFs): 8, Nursing homes: 6, Skilled home health agencies: 5, Hospice programs: 1, Non-medical home care agencies: 14 | — |
| No local license on file | — | All categories present |
| Alzheimer's care on an RCF license | — | None registered in Miami County |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which facilities are licensed in Miami County?
Every licensed residential care facility and nursing home in Miami County on ODH's roster (retrieved November 6, 2026) appears below with licensed beds and, for assisted living, its latest ODH licensure survey.
| Facility | License type | Licensed beds | City | Last ODH licensure survey | CMS overall rating |
|---|---|---|---|---|---|
| Koester Pavilion 3232 North County Road 25-A, 45373 | NH | 127 | Troy | — | 3 of 5 |
| Otterbein Tipp City 4375 South County Road 25a, 45371 | NH | 99 | Tipp City | — | 3 of 5 |
| Piqua Care Center 275 Kienle Drive, 45356 | NH | 99 | Piqua | — | 1 of 5 |
| Piqua Manor 1840 West High Street, 45356 | NH | 99 | Piqua | — | 3 of 5 |
| Stillwater Skilled Nursing & Rehabilitation 75 Mote Drive, 45318 | NH | 75 | Covington | — | 2 of 5 |
| Troy Rehabilitation and Healthcare Center 512 Crescent Drive, 45373 | NH | 155 | Troy | — | 3 of 5 |
| Brookdale Piqua 1744 West High Street, 45356 | RCF | 50 | Piqua | 10/20/2025 (0 cited) | n/a |
| Brookdale Troy 81 South Stanfield Road, 45373 | RCF | 75 | Troy | 04/14/2025 (2 cited) | n/a |
| Garbry Ridge 1567 Garbry Road, 45356 | RCF | 120 | Piqua | 06/17/2026 (0 cited) | n/a |
| Huber Heights Danbury 8001 Red Buckeye Drive, 45371 | RCF | 133 | Tipp City | 02/26/2025 (2 cited) | n/a |
| Randall Residence of Tipp City 6400 South County Road 25a, 45371 | RCF | 135 | Tipp City | 02/26/2025 (2 cited) | n/a |
| Randall Residence of West Milton 217 Doris Drive, 45383 | RCF | 100 | West Milton | 04/16/2025 (3 cited) | n/a |
| Story Point of Troy 1840 Towne Park Drive, 45373 | RCF | 104 | Troy | 04/23/2025 (1 cited) | n/a |
| The Courtyard at Troy 2900 Corporate Drive, 45373 | RCF | 49 | Troy | 11/06/2025 (8 cited) | n/a |
Which skilled home health agencies and hospices are based in Miami County?
ODH's roster shows 5 skilled home health agencies and 1 hospice care program at Miami County addresses, plus 14 non-medical home health agencies.
- Hospice of Miami County, Troy: hospice care program
- Heritage Home Health of Piqua, Piqua: skilled home health agency
- High Point Home Health Services Inc., Tipp City: skilled home health agency
- High Point Home Health Services Inc., Tipp City: skilled home health agency
- Preferred Elite Care LLC, Tipp City: skilled home health agency
- Preferred Elite Home Health LLC, Tipp City: skilled home health agency
Where do Miami County families get free senior help?
Older adults in Miami County are served by the Area Agency on Aging, PSA 2 in downtown Dayton (1-800-258-7277), the Area Agency on Aging for nine west central Ohio counties, which handles information and referral, PASSPORT and Assisted Living Waiver assessments and caregiver support.
The Region 2 Long-Term Care Ombudsman (1-800-395-8267) covers Miami County's nursing homes and RCFs, and licensing complaints go to ODH at 1-800-342-0553. Suspected abuse, neglect or exploitation of an older adult living at home goes to Miami County Job and Family Services, which runs Adult Protective Services intake for the county; the statewide line 855-OHIO-APS (1-855-644-6277) routes reports when the local number is not at hand. No PACE program is listed for Miami County, so PASSPORT is the main Medicaid route to help at home.
How far do Miami County residents travel for hospital care?
From Troy, the county seat, the nearest general hospital in CMS's list is Upper Valley Medical Center, on the same block.
Next come Kettering Health Troy (about 0 miles) and Wayne Hospital (about 24 miles). These are straight-line distances, not driving routes.
