Ohio · RAL Market Report

Best places to open an assisted living home in Ohio

Name: Ohio assisted living market data
Creator: RAL Market Scout

The top markets for residential assisted living in Ohio, ranked by demand versus supply — plus the cities where the homes are.

Updated July 2026

The top markets for assisted living in Ohio right now are Delaware, Warren, Franklin counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 814 licensed assisted living homes serving 864,479 residents aged 75+, at a median cost of about $6,102/mo.

Licensed homes

814

state roster

Population 75+

864,479

ACS

Median AL cost

$6,102/mo

near the national median

Bed supply

49.5/1k

saturated supply

Top 10 markets for assisted living in Ohio

RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.

Delaware County — opportunity 7.3/10 (Strong); 13,195 seniors 75+, growing 32.7%, with 15 licensed homes.
Warren County — opportunity 7.1/10 (Strong); 15,274 seniors 75+, growing 17.7%, with 21 licensed homes.
Franklin County — opportunity 7.0/10 (Strong); 65,414 seniors 75+, growing 9.6%, with 73 licensed homes.
Clermont County — opportunity 7.0/10 (Strong); 15,076 seniors 75+, growing 20.0%, with 9 licensed homes.
Wayne County — opportunity 7.0/10 (Moderate); 9,040 seniors 75+, growing 2.4%, with 11 licensed homes.
Lucas County — opportunity 6.9/10 (Moderate); 29,307 seniors 75+, growing 3.4%, with 23 licensed homes.
Medina County — opportunity 6.9/10 (Moderate); 14,696 seniors 75+, growing 18.7%, with 14 licensed homes.
Miami County — opportunity 6.9/10 (Moderate); 8,909 seniors 75+, growing 9.3%, with 8 licensed homes.
Muskingum County — opportunity 6.9/10 (Moderate); 6,378 seniors 75+, growing -1.7%, with 7 licensed homes.
Stark County — opportunity 6.9/10 (Moderate); 31,609 seniors 75+, growing 2.2%, with 28 licensed homes.

All Ohio counties by market opportunity

County	Pop 75+	Demand	Homes	Market	Band
Delaware	13,195	6.9	15	7.3	Strong
Warren	15,274	6.3	21	7.1	Strong
Franklin	65,414	4.8	73	7.0	Strong
Clermont	15,076	5.7	9	7.0	Strong
Wayne	9,040	3.4	11	7.0	Moderate
Lucas	29,307	4.2	23	6.9	Moderate
Medina	14,696	6.3	14	6.9	Moderate
Miami	8,909	4.6	8	6.9	Moderate
Muskingum	6,378	3.4	7	6.9	Moderate
Stark	31,609	4.6	28	6.9	Moderate
Butler	24,243	4.8	27	6.9	Moderate
Greene	12,675	5.0	17	6.9	Moderate
Lorain	25,395	5.8	16	6.9	Moderate
Ashtabula	7,833	4.6	6	6.9	Moderate
Portage	11,565	6.0	9	6.8	Moderate
Wood	8,672	4.1	8	6.8	Moderate
Clark	11,357	4.4	13	6.8	Moderate
Summit	41,849	4.8	47	6.8	Moderate
Licking	12,600	5.1	8	6.8	Moderate
Trumbull	18,625	4.2	13	6.8	Moderate
Allen	7,942	3.8	13	6.8	Moderate
Sandusky	4,651	2.8	5	6.8	Moderate
Belmont	5,583	3.4	4	6.7	Moderate
Columbiana	8,859	4.4	9	6.7	Moderate
Montgomery	41,676	4.4	26	6.7	Moderate
Athens	3,407	2.7	1	6.7	Moderate
Jefferson	5,800	2.8	1	6.7	Moderate
Lake	20,493	5.2	16	6.7	Moderate
Tuscarawas	7,613	2.4	6	6.7	Moderate
Ross	5,387	3.8	3	6.7	Moderate
Richland	10,676	4.2	9	6.7	Moderate
Hamilton	54,653	4.4	49	6.6	Moderate
Fairfield	11,121	5.1	12	6.6	Moderate
Scioto	5,525	3.4	5	6.6	Moderate
Erie	7,533	5.4	4	6.6	Moderate
Mahoning	20,815	4.5	25	6.6	Moderate
Cuyahoga	99,955	4.6	100	6.5	Moderate
Geauga	9,063	5.7	11	6.5	Moderate
Huron	4,157	3.7	5	6.5	Moderate
Hancock	5,674	4.0	10	6.4	Moderate
Preble	3,261	3.4	3	6.4	Moderate
Ottawa	4,642	5.0	3	6.4	Moderate
Washington	5,451	3.8	3	6.4	Moderate
Pickaway	3,902	3.3	2	6.3	Moderate
Marion	4,722	3.6	4	6.3	Moderate
Seneca	4,108	1.8	6	6.2	Moderate
Fayette	2,013	2.2	2	6.2	Moderate
Lawrence	4,432	2.8	3	6.2	Moderate
Jackson	2,202	3.1	2	6.1	Moderate
Knox	4,862	4.0	6	6.1	Moderate
Logan	3,384	4.3	2	6.0	Moderate
Champaign	3,124	3.7	3	5.8	Moderate
Ashland	4,451	3.1	7	5.8	Moderate
Hocking	2,262	3.1	1	5.8	Moderate
Clinton	3,036	4.4	1	5.8	Moderate
Guernsey	3,028	2.8	3	5.8	Moderate
Fulton	3,234	3.6	1	5.8	Moderate
Defiance	3,221	4.7	3	5.7	Moderate
Putnam	2,571	2.4	7	5.7	Moderate
Carroll	2,374	3.6	3	5.7	Moderate
Union	3,354	5.8	4	5.7	Moderate
Morrow	2,562	4.6	1	5.6	Moderate
Perry	2,413	3.9	0	5.6	Moderate
Mercer	3,274	2.4	6	5.6	Moderate
Highland	3,374	2.7	1	5.6	Moderate
Madison	2,969	2.4	3	5.6	Moderate
Coshocton	2,988	2.1	2	5.6	Moderate
Crawford	3,694	2.6	2	5.5	Moderate
Shelby	3,419	3.8	2	5.5	Moderate
Williams	3,065	2.1	2	5.5	Moderate
Darke	4,604	3.4	5	5.5	Moderate
Hardin	1,938	3.0	2	5.5	Moderate
Harrison	1,227	3.3	0	5.5	Moderate
Adams	1,929	2.8	3	5.5	Moderate
Meigs	1,748	2.1	1	5.4	Moderate
Gallia	2,403	2.4	1	5.4	Moderate
Brown	3,351	3.0	2	5.4	Moderate
Auglaize	3,700	2.8	5	5.3	Moderate
Henry	2,234	3.0	3	5.3	Moderate
Noble	1,715	4.3	1	5.2	Moderate
Morgan	1,250	2.9	1	5.2	Moderate
Van Wert	2,417	3.2	4	5.2	Moderate
Holmes	2,673	2.8	3	5.1	Moderate
Monroe	1,318	2.2	2	4.9	Moderate
Paulding	1,410	2.1	4	4.8	Moderate
Pike	2,059	2.8	1	4.8	Moderate
Wyandot	1,947	3.4	1	4.5	Moderate
Vinton	869	3.8	0	—	—

Top cities for assisted living in Ohio

Where the homes actually are. Each linked city has its own page with local supply and market context.

City	County	Homes	Beds	Avg size
Cincinnati	Hamilton	45	5,728	127.3
Columbus	Franklin	32	3,097	96.8
Dayton	Montgomery	16	1,421	88.8
Springfield	Clark	12	986	82.2
Cleveland	Cuyahoga	11	854	77.6
Westlake	Cuyahoga	11	980	89.1
Findlay	Hancock	10	855	85.5
Mansfield	Richland	9	788	87.6
Toledo	Lucas	9	914	101.6
Canton	Stark	9	927	103.0
Akron	Summit	9	727	80.8
Mason	Warren	9	1,000	111.1
Hilliard	Franklin	8	803	100.4
Mentor	Lake	8	754	94.3
Youngstown	Mahoning	8	528	66.0
Strongsville	Cuyahoga	8	781	97.6
Middletown	Warren	7	539	77.0
Dublin	Franklin	7	591	84.4
Medina	Medina	7	762	108.9
Zanesville	Muskingum	7	523	74.7

Frequently asked questions

What are the top markets for assisted living in Ohio?

The strongest Ohio markets on RAL Market Scout's opportunity scoring are Delaware, Warren, Franklin, Clermont, Wayne counties — based on 75+ demand and projected senior growth versus current bed supply.

Which Ohio city has the most assisted living homes?

Cincinnati has the most, with 45 licensed assisted living homes (about 5,728 beds).

How much does assisted living cost in Ohio?

The median assisted living cost in Ohio is about $6,102 per month — near the national median.

How many assisted living homes are in Ohio?

Ohio has approximately 814 licensed assisted living homes serving 864,479 residents aged 75 and older.

See the full Ohio picture

RAL Market Scout scores every county and ZIP in Ohio on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.

Run a Market Report Site Intelligence report

Sources: Licensed-home and city counts from Ohio state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.