Dayton Senior AdvisorTroy is the Miami County seat along Interstate 75 north of Dayton, with about 27,344 residents in 2025 Census estimates and two hospitals, Upper Valley Medical Center and Kettering Health Troy; Tipp City and West Milton lie to the south and west.
Troy and Tipp City together hold several newer assisted living communities and nursing centers, including a long-established continuing care campus in Tipp City, and West Milton adds a small assisted living residence.
How much licensed senior care does Troy, Tipp City & West Milton, Ohio have?
Troy had about 27,344 residents in Census Bureau estimates for July 1, 2025 (Tipp City about 10,644, West Milton about 4,871), and ODH lists 6 licensed assisted living facilities and 3 nursing homes with Troy, Tipp City & West Milton addresses.
| Found in Troy, Tipp City & West Milton | Not found in Troy, Tipp City & West Milton | |
|---|---|---|
| Licensed with a local address (ODH) | Assisted living (RCFs): 6, Nursing homes: 3, Skilled home health agencies: 4, Hospice programs: 1, Non-medical home care agencies: 13 | — |
| No local license on file | — | All categories present |
| Alzheimer's care on an RCF license | — | None registered in Troy, Tipp City & West Milton |
Which assisted living communities are licensed in Troy, Tipp City & West Milton?
ODH lists 6 licensed residential care facilities in Troy, Tipp City & West Milton with 596 beds in all; Randall Residence of Tipp City is the largest at 135 licensed beds.
| Facility | Licensed beds | Last ODH licensure survey | Citations, last 4 yrs | Resident satisfaction (state survey) |
|---|---|---|---|---|
| Randall Residence of Tipp City 6400 South County Road 25a, 45371 | 135 | 02/26/2025 (2 cited) | 2 | — |
| Huber Heights Danbury 8001 Red Buckeye Drive, 45371 | 133 | 02/26/2025 (2 cited) | 2 | 93.3 |
| Story Point of Troy 1840 Towne Park Drive, 45373 | 104 | 04/23/2025 (1 cited) | 5 | — |
| Randall Residence of West Milton 217 Doris Drive, 45383 | 100 | 04/16/2025 (3 cited) | 6 | 85.9 |
| Brookdale Troy 81 South Stanfield Road, 45373 | 75 | 04/14/2025 (2 cited) | 16 | — |
| The Courtyard at Troy 2900 Corporate Drive, 45373 | 49 | 11/06/2025 (8 cited) | 13 | 93.8 |
What do Ohio's inspections show for assisted living in Troy, Tipp City & West Milton?
Across the 6 RCFs in Troy, Tipp City & West Milton with surveys on file, ODH recorded 44 citations in four years of licensure and complaint surveys, from 2 at Randall Residence of Tipp City to 16 at Brookdale Troy.
The six-county median is 6 citations per RCF over the same window. A count is a starting point, not a verdict: one survey with several minor paperwork citations can outweigh years of clean visits. Each facility page lists the survey dates and links to the state's citation detail.
Which nursing homes are in Troy, Tipp City & West Milton, and how does CMS rate them?
Troy, Tipp City & West Milton has 3 licensed nursing homes with 381 licensed beds; of the 3 that CMS rates, 0 hold four or five stars.
| Facility | CMS overall rating | Licensed beds | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Koester Pavilion 3232 North County Road 25-A, 45373 | 3 of 5 | 127 | July 21, 2026 | 14 |
| Otterbein Tipp City 4375 South County Road 25a, 45371 | 3 of 5 | 99 | April 3, 2025 | 14 |
| Troy Rehabilitation and Healthcare Center 512 Crescent Drive, 45373 | 3 of 5 | 155 | April 7, 2026 | 9 |
Which skilled home health agencies and hospices have offices in Troy, Tipp City & West Milton?
ODH's roster shows 4 skilled home health agencies and 1 hospice care program at Troy, Tipp City & West Milton addresses; agencies typically serve clients well beyond their office.
- High Point Home Health Services Inc.: skilled home health agency, ODH ID 3571HHS
- High Point Home Health Services Inc.: skilled home health agency, ODH ID 3571HHS
- Preferred Elite Care LLC: skilled home health agency, ODH ID 1997HHS
- Preferred Elite Home Health LLC: skilled home health agency, ODH ID 3833HHS
- Hospice of Miami County: hospice care program, ODH ID 0021HSP
How many non-medical home care agencies are based in Troy, Tipp City & West Milton?
13 licensed non-medical home health agencies list a Troy, Tipp City & West Milton office on ODH's roster; these agencies send aides for bathing, dressing, meals and companionship rather than nursing.
All of them appear in the non-medical home care roster, searchable by city. Ohio has licensed non-medical home health agencies only since its 2021 law took effect, so ask how long the agency has operated, how it screens and supervises aides, and who covers a shift when an aide calls out.
How close is Troy, Tipp City & West Milton to a hospital?
From the middle of the area, the nearest general hospitals in CMS's list are Upper Valley Medical Center (about 3.7 miles) and Kettering Health Troy (about 3.7 miles).
Kettering Health Miamisburg is about 24.6 miles away. All are straight-line distances between ZIP code centers, good for comparing places but not for estimating drive times.
Who helps older adults and caregivers in Troy, Tipp City & West Milton?
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.
Licensing complaints go to the Ohio Department of Health at 1-800-342-0553; residents' rights problems in a facility go to the Region 2 Long-Term Care Ombudsman at 1-800-395-8267. 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.
