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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.

HomeCosts & PayingWhat In-Home Care Costs
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

How do I report suspected elder abuse or neglect in Hamilton County?

Call Hamilton County Job and Family Services' 24-hour elder protection line at (513) 421-LIFE (5433). If someone is in immediate danger, call 911 first.

Who handles Adult Protective Services in Butler, Warren and Clermont counties?

Each of these counties runs Adult Protective Services through its own county Job and Family Services department, not through Hamilton County's line. Contact your county's JFS office directly.

What counts as reportable abuse or neglect of a senior in Ohio?

Physical abuse, emotional abuse, neglect, self-neglect and financial exploitation of an adult are all within Adult Protective Services' scope in Ohio. If you're unsure whether a specific concern qualifies, report it and let APS make that determination.

Is a facility licensing complaint the same thing as an APS report?

No. A facility licensing complaint about a specific community's compliance with state regulations goes to the Ohio Department of Health. A suspected case of abuse, neglect or exploitation of an individual goes to county Adult Protective Services.

Can I report elder financial exploitation even if I'm not sure money has actually been taken?

Yes. Financial exploitation is within Adult Protective Services' scope in Ohio, and a report based on reasonable concern -- unusual account activity, a new 'friend' pressuring for money, sudden changes to a will -- does not require proof before you make it.

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