What does a nursing home provide in Ohio?
A nursing home provides licensed nursing care around the clock, rehabilitation therapy and help with all daily activities, under an ODH license and, for most homes, Medicare and Medicaid certification.
ODH lists 80 licensed nursing homes in the six counties with 7,799 beds, and CMS rates 79 of them, 30 at four or five stars overall (Care Compare data as of October 1, 2026).
Who needs a nursing home rather than assisted living?
People who need daily skilled nursing, complex medical care, or more hands-on help than an RCF can safely give, and people recovering from a hospital stay who need daily therapy.
Many residents come for a short rehab stay after a hospital admission and go home; others stay long term.
What do nursing homes cost in Ohio?
CareScout's 2025 Ohio medians are about $9,186 a month for a semi-private room and $10,389 for a private room; Medicare covers short rehab stays and Ohio Medicaid pays for long stays for eligible residents.
Ask whether a home accepts Medicaid and whether a private-pay resident can stay in the same room after converting.
How do we compare nursing homes around Dayton?
Use CMS Care Compare ratings, staffing hours, turnover and inspection results, which our nursing home pages set against the six-county median, then visit in the evening or on a weekend.
For a long stay, staffing and inspection history matter more than the overall star rating.
What happens when a Dayton nursing home resident's money runs out?
A resident who has spent down to Ohio Medicaid's limits applies through the county Job and Family Services office; a home certified for Medicaid generally cannot discharge a resident just because payment is switching to Medicaid while the application is pending.
Ask before admission whether the home participates in Medicaid and whether residents must move to a different room or hall when they convert. Nearly all income then goes toward the cost of care, with a $75 monthly personal needs allowance in 2026. The business office can help start the application several months before funds run out. Our Medicaid guide covers the spousal protections that keep a husband or wife at home from being impoverished.
Where is nursing homes licensed across Greater Dayton?
This is how ODH's roster spreads nursing homes across Montgomery, Greene, Miami, Clark, Darke and Preble counties.
| County | Licenses | Licensed beds |
|---|---|---|
| Montgomery County | 40 | 4328 |
| Greene County | 12 | 936 |
| Miami County | 6 | 654 |
| Clark County | 13 | 1187 |
| Darke County | 6 | 454 |
| Preble County | 3 | 240 |
Which Miami Valley towns have the most nursing homes licenses?
Dayton leads with 20 licenses, followed by Springfield (11) and Kettering (5), out of 80 in the six counties on ODH's roster retrieved November 6, 2026.
| City (postal) | Licenses | Example |
|---|---|---|
| Dayton | 20 | The Maria-Joseph Living Care Center |
| Springfield | 11 | Allen View Healthcare Center |
| Kettering | 5 | Walnut Creek Nursing Center |
| Greenville | 4 | Buckeye Forest at Greenville |
| Xenia | 4 | Alpine Nursing and Rehabilitation |
| Fairborn | 3 | Dayspring of Miami Valley Health |
| Centerville | 3 | Bethany Village |
| Englewood | 3 | Englewood Health and Rehab |
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
| Nursing homes in Ohio is | Nursing homes in Ohio is not | |
|---|---|---|
| Care | Licensed nursing and rehab around the clock | Residential help only |
| Ratings | CMS stars and inspection results | Unrated |
| Medicaid | Pays long stays for eligible residents | Free long stays under Medicare |