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What In-Home Care Costs

Ohio's published home care and home health medians, and the point where a community becomes the cheaper option.

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Short answer

CareScout's 2024 Ohio state medians put a home health aide at roughly $75,504 a year and homemaker services at roughly $73,216 a year -- both well above Ohio's assisted living median of $66,000 a year once care is needed close to full-time.

Why the hourly rate hides the real number

A quoted hourly rate looks affordable until you multiply it by the hours a parent actually needs. Ohio's statewide home health aide median works out to roughly $145 a day if delivered eight hours a day, seven days a week -- more than Ohio's assisted living median once care needs approach full-time.

When home care usually wins

Home care tends to be the better value under roughly 30-40 hours a week, when a family can supplement with their own time, or when a parent's needs are narrow (medication reminders, help bathing) rather than continuous supervision.

When a community usually wins

Once care approaches around-the-clock, a licensed community's flat monthly rate usually beats stacking enough home care hours to match it -- and it adds staff redundancy a single in-home caregiver cannot.

What senior care costs. Ohio's 2024 CareScout medians: about $5,500/month for assisted living, $9,034/month for a semi-private nursing home room. Read the full explanation →

Questions families ask

Is Ohio's Medicaid expansion the same thing as long-term care Medicaid for seniors?

No. Ohio expanded Medicaid under the ACA in 2014 for lower-income adults generally, using an income-based (MAGI) test. Long-term care Medicaid for seniors uses a completely different, non-MAGI aged/blind/disabled eligibility pathway that predates the ACA expansion.

Does Ohio's Assisted Living Waiver have a waiting list?

Waiver capacity and waitlist status change over time and are not a fixed fact this site publishes a number for. Ask the Council on Aging of Southwestern Ohio directly for current status before assuming either way.

What happens to a Medicaid recipient's estate after they pass away in Ohio?

Ohio's Medicaid Estate Recovery Program can seek repayment from the estate of a Medicaid recipient who received long-term care services, generally pursued after the recipient's death and, where a spouse survives, typically deferred until after the surviving spouse's death.

What does assisted living cost in Ohio?

The 2024 CareScout Cost of Care Survey put Ohio's assisted living median at roughly $66,000 a year, or about $5,500 a month, statewide. No Cincinnati-metro-specific figure is published by any primary source.

How much does memory care cost in Cincinnati?

There is no published memory-care cost median anywhere -- CareScout does not survey memory care as a separate category, in Ohio or any other state. Any specific price you find online is an estimate, not a surveyed figure.

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