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Assisted Living in the Cleveland area

Help with daily activities in an Ohio-licensed Residential Care Facility, with meals, housekeeping and medication assistance included.

Quick answer

Assisted Living in Ohio is regulated by the Ohio Department of Health. We list 61 verified assisted living providers across Greater Cleveland's 7-county region.

HomeServicesAssisted Living

Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments. In Ohio it is a licensed Residential Care Facility, not a medical setting. Staff are caregivers and med aides, not nurses on every shift.

Short answer

Assisted Living in Ohio is regulated by the Ohio Department of Health. We list 61 verified assisted living providers across Greater Cleveland. Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments.

Three things worth knowing first

  • Ask which services are included in the base rate versus billed as a separate care level. Base rent is rarely the real number; care levels can add several hundred to well over a thousand dollars a month.
  • Ask whether the community holds an Assisted Living Waiver provider agreement and how many current residents use it. Many Cleveland-area communities do not participate at all.
  • Ask what happens if your parent's needs exceed the 120-day skilled-nursing cap that applies inside an RCF license, absent a written extension agreement.
Ohio licenses assisted living under a single RCF license. Ohio issues one Residential Care Facility (RCF) license covering nearly all assisted living and memory care, under ORC 3721 and OAC 3701-16. There is no evacuation-based tiering and no separate small-home license type. Read the full explanation →

Verified assisted living across the region

We list 61 verified assisted living providers across Greater Cleveland. The full table with addresses and counties lives in the directory.

See all 61 in the directory →

Assisted Living by city

Questions Cleveland families ask

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.

What does a nursing home cost in Ohio, semi-private versus private room?

The 2025 CareScout Cost of Care Survey puts Ohio's statewide median nursing home cost at $9,186 a month ($302 a day) for a semi-private room and $10,389 a month ($342 a day) for a private room. Both figures run slightly below the 2025 national medians of $9,581 and $10,798 a month, respectively.

Why can't I find a Cleveland-specific or Cuyahoga County cost figure for senior care?

No primary source, including CareScout's annual survey, publishes a Cleveland- or Cuyahoga County-specific cost figure; the published data is limited to national and state-level medians. Cleveland-area pricing likely varies significantly by neighborhood, with the East Side inner suburbs and Lake County generally commanding higher rates than more rural parts of Geauga, Medina, or Portage counties.

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