What is Medicaid Estate Recovery in Ohio, and can the state take my parent's house?

Ohio's Medicaid Estate Recovery Program (MERP) is a federally required program that recovers certain Medicaid long-term care payments from a deceased recipient's estate, for recipients 55 or older or of any age if permanently institutionalized. Ohio is an "expanded recovery" state, meaning assets passing outside probate, like transfer-on-death deeds or joint survivorship property, can be subject to recovery too. Recovery is delayed while a surviving spouse, minor child, or blind or disabled child lives in the home, and hardship waivers are evaluated case by case.

Does Ohio Medicaid pay for room and board in assisted living?

No. The Assisted Living Waiver pays only for personal care and supportive services delivered by the facility's staff; room and board is the resident's own responsibility, capped at the SSI federal benefit rate minus a $50 personal needs allowance. This is true across Ohio's long-term care Medicaid programs: PASSPORT and MyCare Ohio also do not cover room and board in any residential setting.

How much does assisted living cost in Ohio in 2025?

According to the 2025 CareScout Cost of Care Survey, the Ohio statewide median for an assisted living community is $6,103 a month ($73,230 a year), close to the 2025 national median of $6,200 a month. CareScout does not publish a separate Cleveland or Cuyahoga County figure, so this is a statewide median, not a local one.

Reserve Care Hospice Center – Cleveland

Reserve Care's Lakeshore Boulevard inpatient hospice center in Cleveland, formerly operated as Hospice of the Western Reserve.

Reserve Care Hospice Center – Cleveland, at 18485 Lakeshore Blvd on the shores of Lake Erie, is one of several inpatient hospice centers operated by Reserve Care, a nonprofit hospice and palliative care organization with nearly 50 years of history in Northern Ohio that until recently operated under the name Hospice of the Western Reserve — hospicewr.org now redirects to reserve-care.org. Families researching the organization online should be aware of this rebrand, since the Hospice of the Western Reserve name is still widely used in the community and by other local sources.

The Cleveland location is described by the operator as its 'new, state-of-the-art' inpatient center, offering expert symptom management, around-the-clock support, and a home-like environment for patients and families. Reserve Care's broader service lines include hospice care, palliative care, pediatric hospice and palliative care, veteran-specific care, and grief support, and the organization also operates inpatient centers in Medina and Westlake (each profiled separately in this guide) plus additional locations further from the immediate Cleveland metro, extending its reach across Northern Ohio.

Short answer

Reserve Care Hospice Center – Cleveland is a hospice provider at 18485 Lakeshore Blvd, Cleveland, Ohio 44119, in Cuyahoga County.

Location and contact

Community	Reserve Care Hospice Center – Cleveland
Care type	Hospice
Address	18485 Lakeshore Blvd, Cleveland, OH 44119
County	Cuyahoga County, Ohio
Website	Official site

What we do not publish, and why. We list only details we confirmed against this provider's own published information. We do not publish bed counts, license numbers, pricing or quality ratings for this community because we could not verify them from a primary source. Aggregator sites publish those figures freely; some are wrong, and Austin's sister-site research turned up exactly this problem elsewhere in the network. Confirm licensing yourself using the state tools below, and get pricing in writing directly from the community.

How Ohio regulates this provider

Home health, home care and hospice providers operating in Ohio are licensed and, for home health specifically, complaints are handled through a dedicated ODH hotline separate from the general facility complaint line.

Current license status and inspection history: ODH Licensed Facilities, Services, and Program Search (verify a facility's current license status)
Consumer-facing quality information: Ohio Department of Aging Long-Term Care Quality Navigator (consumer-facing information on assisted living and nursing homes; not a CMS-style star rating)
To report a concern: Ohio Department of Health, 1-800-342-0553, Live call coverage Monday to Friday, 8 a.m. to 5 p.m. Eastern. Voicemail is available 24 hours a day and is checked twice daily outside live hours.

Evaluating a hospice provider

Ask how quickly a nurse responds after hours and on weekends, and whether that is an on-call clinician or an answering service that pages someone.
Ask what is provided in the home versus what requires an inpatient unit, and where that inpatient care would take place.
You can change hospice providers, and you can revoke hospice and return to curative treatment. Families are rarely told either clearly.

Cleveland in context

Cleveland proper holds a mix of historic University Circle campuses and West Side communities, and it is where the region's three major hospital systems concentrate discharge planning. Traffic between the East Side and West Side of Cleveland runs through downtown, which matters more for visit frequency than the map distance suggests.

Other hospice options near Cleveland

Reserve Care Ames Family Hospice Center — Westlake
Reserve Care Hospice Center – Medina — Medina
VNA of Ohio — Brooklyn Heights
Suncrest Hospice — Independence

Listing details verified 2026-07-21 against the provider's own published information. We are not affiliated with this community and do not represent it. Details change — confirm directly before making a decision.