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Assisted living around Dayton

Ohio's residential care facilities: what they provide, what they cost and how to compare them.

Quick answer

Assisted living in Ohio is a residential care facility licensed by the Ohio Department of Health that provides housing, meals, supervision, help with personal care and medications, and limited part-time skilled nursing.

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What is assisted living in Ohio?

Assisted living in Ohio is a residential care facility licensed by the Ohio Department of Health that provides housing, meals, supervision, help with personal care and medications, and limited part-time skilled nursing.

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.

Who is assisted living right for?

Adults who need daily help with bathing, dressing, medications or meals, or who are unsafe or isolated alone, but who do not need daily skilled nursing beyond what an RCF may provide.

An RCF may give part-time skilled nursing for up to 120 days in a year, and residents on hospice can usually stay. People who need restraints or continuous nursing need a nursing home.

What does assisted living cost around Dayton?

CareScout's 2025 Ohio median is $6,103 a month; there is no Dayton-only median, and quotes vary with apartment size and care level.

Families usually pay privately, sometimes with long-term care insurance or VA pension; the Assisted Living Waiver pays for care in participating RCFs for people who qualify for Medicaid.

How do we compare assisted living facilities in the Miami Valley?

Use the public record: ODH survey citations over four years, the state Resident Satisfaction Survey and the license detail, then visit at mealtime and ask about staffing on each shift.

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.

What happens if a Dayton assisted living resident needs more care?

The RCF reassesses and may add services such as home health or hospice, move the resident to its special care unit if it has one, or ask for a transfer to a nursing home, with written notice and appeal rights under Ohio's residents' rights law.

Ask before signing which needs the building cannot meet, and whether it has kept residents through similar needs before. Campuses that hold both an RCF and a nursing home license make the next step easier; our directory shows which ones share an address.

Where is assisted living licensed across Greater Dayton?

This is how ODH's roster spreads assisted living across Montgomery, Greene, Miami, Clark, Darke and Preble counties.

CountyLicensesLicensed beds
Montgomery County303126
Greene County141192
Miami County8766
Clark County131036
Darke County5424
Preble County3123

Which Miami Valley towns have the most assisted living licenses?

Dayton leads with 16 licenses, followed by Springfield (12) and Beavercreek (6), out of 73 in the six counties on ODH's roster retrieved November 6, 2026.

City (postal)LicensesExample
Dayton16Villas of Trotwood
Springfield12Aventura Village
Beavercreek6The Patterson
Greenville5Brethren Retirement Community
Miamisburg4Stoney Ridge Senior Living
Centerville4St Leonard
Fairborn3Our Home Fairborn
Xenia3Shawnee Estates Senior Living

Postal cities follow mailing addresses, so a Dayton address may sit in Harrison, Washington or Miami Township. Use the town and area pages to see every option near a particular neighborhood.

Side by side

Assisted living in Ohio isAssisted living in Ohio is not
OversightODH-licensed RCF with unannounced surveysRated by CMS
ResidentsAdults who need personal care and limited nursingPeople needing more than part-time skilled nursing
PaymentPrivate funds, VA pension, LTC insurance, Assisted Living Waiver for carePaid by Medicare

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