How many residential care facilities are there in Ohio?

Our Ohio directory lists 812 licensed residential care facilities across 292 cities. The largest concentrations are in Cuyahoga County, Franklin County, Hamilton County.

What is a residential care facility in Ohio?

"Residential Care Facility" is the Ohio licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Adult family homes serve 3 to 5 residents; adult group homes serve 6 to 16; residential care facilities are larger. Ohio also licenses homes under the terms "adult family home" and "adult group home".

How much does assisted living cost in Ohio?

The median assisted living rate in Ohio is $6,103 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.

Who licenses residential care facilities in Ohio?

Ohio Department of Health (ODH) licenses and inspects every residential care facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Does Medicaid pay for residential care facilities in Ohio?

Ohio's Assisted Living Waiver pays for services in participating residential care facilities. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Residential Care Facilities in Ohio

Ohio Residential Care Facilities Directory

812 licensed residential care facilities across 292 cities.

Ohio licenses Residential Care Facilities through the Department of Health. The state has more than 800 active licensed facilities, with the highest concentrations in Cincinnati, Columbus, and Dayton. Ohio RCFs provide room, board, and personal care services in a residential setting.

See what care costs here, or learn how residential care facilities work.

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61 counties

Cities in Ohio

292 cities

Ohio care costs at a glance

Median monthly figures for Ohio. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.

Type of care	Median per month
Assisted living Monthly median, one resident	$6,103
In-home care Non-medical caregiver, 44 hours a week	$6,483
Nursing home Semi-private room	$9,186

Home care median is CareScout's non-medical caregiver rate at 44 hours per week.

Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.

Full cost breakdown for Ohio residential care facilities →

Talk through your shortlist with an advisor

A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.

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What small care homes are called in Ohio

Licensing term: residential care facility (RCF)
Related license types: adult family home, adult group home
Size and capacity: Adult family homes serve 3 to 5 residents; adult group homes serve 6 to 16; residential care facilities are larger.
Licensed and inspected by: Ohio Department of Health (ODH)

Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Search the Ohio license database → What "Residential care facility" means →

Does Medicaid pay in Ohio?

Ohio's Assisted Living Waiver pays for services in participating residential care facilities.

How Medicaid covers residential care →

Common questions about residential care facilities in Ohio

How many residential care facilities are there in Ohio?: Our Ohio directory lists 812 licensed residential care facilities across 292 cities. The largest concentrations are in Cuyahoga County, Franklin County, Hamilton County.
What is a residential care facility in Ohio?: "Residential Care Facility" is the Ohio licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Adult family homes serve 3 to 5 residents; adult group homes serve 6 to 16; residential care facilities are larger. Ohio also licenses homes under the terms "adult family home" and "adult group home".
How much does assisted living cost in Ohio?: The median assisted living rate in Ohio is $6,103 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
Who licenses residential care facilities in Ohio?: Ohio Department of Health (ODH) licenses and inspects every residential care facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay for residential care facilities in Ohio?: Ohio's Assisted Living Waiver pays for services in participating residential care facilities. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Keep looking

Largest Ohio city directories

Neighboring states

Estimate monthly costs → What residential care facilities are → Read the Ohio guide → All state directories →