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Senior care in Montgomery County, Ohio

Dayton and the rest of Montgomery County: licensed options, local agencies and distances.

Quick answer

Montgomery County had about 108,885 residents aged 65 and older (20.2% of 539,598), including 12,282 aged 85 and older, on July 1, 2025, and ODH lists 30 licensed RCFs and 40 nursing homes there.

Home›Counties›Montgomery County

Montgomery County holds the City of Dayton and the suburbs of Kettering, Huber Heights, Centerville, Miamisburg, Trotwood, Vandalia, Englewood, Clayton, Riverside, Oakwood and West Carrollton, with about 539,598 residents in 2025 Census estimates and most of the region's hospital beds.

Because so much of the county's licensed care carries a Dayton mailing address, we break it down by part of the city and by suburb below. 20.2% of residents are 65 or older, and the median age is 39.3.

How many seniors and licensed care options does Montgomery County, Ohio have?

Montgomery County had about 108,885 residents aged 65 and older (20.2% of 539,598), including 12,282 aged 85 and older, on July 1, 2025, and ODH lists 30 licensed RCFs and 40 nursing homes there.

Found in Montgomery CountyNot found in Montgomery County
Licensed with a local address (ODH)Assisted living (RCFs): 30, Nursing homes: 40, Skilled home health agencies: 69, Hospice programs: 7, Non-medical home care agencies: 162—
No local license on file—All categories present
Alzheimer's care on an RCF license6 buildings—

Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).

Where is licensed senior care located inside Montgomery County?

Of Montgomery County's 30 licensed RCFs, 14 have Dayton mailing addresses in the three areas we map and 16 are in the county's suburbs.

Which agencies serve older adults in Montgomery County?

Older adults in Montgomery 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 Montgomery County's nursing homes and RCFs, and licensing complaints go to ODH at 1-800-342-0553. Suspected abuse, neglect or exploitation of an adult 60 or older living at home goes to Montgomery County Adult Protective Services at (937) 225-4906, staffed 24 hours a day. Ohio's PACE expansion names Montgomery County as a planned site, reported for 2026; ask the Area Agency on Aging whether enrollment has opened before counting on it.

Which hospitals serve Montgomery County seniors?

CMS's list shows 5 general hospitals in Montgomery County run by Premier Health, Kettering Health and the VA; most nursing home and rehab referrals start with a discharge from one of them.

  • Miami Valley Hospital (Dayton; CMS overall rating 3)
  • Kettering Health Main Campus (Kettering; CMS overall rating 3)
  • Dayton VA Medical Center (Dayton; CMS overall rating 5)
  • Kettering Health Dayton (Dayton; CMS overall rating 4)
  • Kettering Health Miamisburg (Miamisburg; CMS overall rating 4)
Source: Ohio Department of Health, EID Facility Listing by County and license detail, retrieved November 6, 2026 (publicapps.odh.ohio.gov); Ohio Department of Aging, Long-Term Care Consumer Guide inspection listings and 2025-26 Resident Satisfaction Survey (aging.ohio.gov); CMS Care Compare Provider Information, data as of October 1, 2026 (data.cms.gov). Star ratings are CMS's own and satisfaction scores are the state survey's; we do not rate facilities.

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