Dayton Senior AdvisorIs assisted living licensed in Ohio?
Yes. Ohio licenses assisted living as a residential care facility (RCF) through the Ohio Department of Health under Revised Code Chapter 3721 and Administrative Code Chapter 3701-16.
In Montgomery, Greene, Miami, Clark, Darke and Preble counties ODH lists 73 active residential care facilities with 6,667 licensed beds, 30 of them in Montgomery County, from 16 to 278 beds each.
Can an Ohio assisted living facility provide nursing care?
Only limited skilled nursing: part-time, intermittent care for up to 120 days in a 12-month period, extendable by written agreement, with a registered nurse supervising it.
Residents enrolled in hospice can usually stay even when their needs exceed those limits. A resident who needs continuous skilled nursing or restraints needs a nursing home.
Do Ohio assisted living facilities have a required staff ratio?
No. Ohio requires at least one qualified staff member on duty at all times and enough staff to meet residents' needs, but sets no fixed staff-to-resident ratio.
Ask each building for its actual staffing on day, evening and night shifts, and read its ODH survey citations for staffing problems.
Are Ohio assisted living inspections public?
Yes. The Ohio Department of Aging's Long-Term Care Consumer Guide lists every ODH licensure survey and complaint investigation for each RCF over the past four years, with citation counts and detail.
Of the 72 Greater Dayton RCFs with a licensure survey on file, 22 had a clean latest survey; the median RCF collected 6 citations across licensure and complaint surveys in four years, and 0 complaint investigations found immediate jeopardy.
Is there a rating for assisted living in Ohio?
There is no star rating, but Ohio publishes a Resident Satisfaction Survey in which residents score their facility on care, caregivers, meals, activities, environment and moving in.
33 of the 73 RCFs in our six counties have a posted 2025-26 Resident Satisfaction Survey report, with overall scores from 66.6 to 93.8 (median 88.7) against a statewide assisted living average of 85.5.
Do Ohio's residents' rights apply in assisted living?
Yes. Ohio's residents' rights law, ORC 3721.10 to 3721.17, covers residents of residential care facilities as well as nursing homes, including notice and appeal rights before a discharge.
Residents can enforce those rights through the facility's grievance process, the Region 2 ombudsman, an ODH complaint or, as a last resort, a lawsuit.
How many assisted living facilities are in the Dayton area?
ODH's roster lists every active RCF in Montgomery, Greene, Miami, Clark, Darke and Preble counties, and our directory shows each one with its beds, survey history and resident survey score.
Every RCF has its own page with its license detail and nearby alternatives, and the roster sorts by county, city, beds and citations.
