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What Senior Care Costs in Greater Cleveland

Published Ohio median costs for assisted living, memory care, nursing homes, in-home care and adult day care, with the caveats that matter.

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What senior care costs in Greater Cleveland

Short answer

The 2025 CareScout Cost of Care Survey puts the Ohio median for an assisted living community at $6,103 a month and a private nursing home room at $10,389. CareScout does not publish a Cleveland-specific or Cuyahoga County figure, so treat these as a statewide starting point, not a local quote.

These are the published Ohio statewide medians from the 2025 CareScout Cost of Care Survey (The survey formerly published under the Genworth name is now released by CareScout, a Genworth subsidiary.), based on rates collected July through November 2025, from more than 25,000 provider rates nationwide.

Type of careMonthlyAnnualRate
Assisted living community$6,103$73,230$196 per day
Nursing home, semi-private room$9,186$110,230$302 per day
Nursing home, private room$10,389$124,666$342 per day
Homemaker services$6,483$77,792based on 44 hours per week
Home health aide$433$5,200based on 44 hours per week; see caregiver_caveat
Non-medical caregiver——$34 per hour
Private duty nurse at home——$100 per hour, or $85 per visit
Adult day health care$1,798$21,580$83 per day

For contrast, the 2025 national medians are $6,200 a month for an assisted living community, $9,581 a month ($315 a day) for a semi-private nursing home room, $10,798 a month ($355 a day) for a private nursing home room, $35 an hour for a non-medical caregiver, and $95 a day for adult day health care.

Read the home care lines carefully. CareScout's Ohio 'home health aide' figure ($433 a month) is far lower than its 'homemaker services' figure ($6,483 a month) and lower than the hourly non-medical caregiver rate would suggest for full-time care. This is a real, published state median, not a transcription error, but it should not be read as the cost of full-time in-home care; CareScout itself has begun merging homemaker and home health aide reporting into a single 'non-medical caregiver' hourly category ($34 an hour in Ohio, $35 nationally) going forward, precisely because these older category definitions were inconsistent. For budgeting full-time in-home care, use the hourly non-medical caregiver rate multiplied by expected weekly hours, not the home health aide line.
On memory care pricing: CareScout does not survey memory care as a separate category, so no authoritative memory care median exists for Ohio or for Cleveland. Any memory care price quoted online is an estimate, not survey data.

Why we do not publish a Cleveland-specific figure. No primary source publishes a Cleveland-specific or Cuyahoga County-specific cost figure. Cleveland-area pricing likely varies significantly by neighborhood, with the East Side inner suburbs and Lake County generally commanding higher rates than more rural stretches of Geauga, Medina, or Portage counties. Ask each community directly for a current all-in monthly quote. You will find sites quoting a precise Cleveland number. We could not trace any of them to a primary source, so we do not repeat them.

Source: 2025 CareScout Cost of Care Survey state median tables

Questions Cleveland families ask

What is MyCare Ohio and which Cleveland-area counties does it cover?

MyCare Ohio is a managed care demonstration for Ohioans eligible for both Medicare and Medicaid, coordinating medical care, behavioral health, and long-term services and supports through a single plan. Its Northeast Ohio region covers all of Cuyahoga, Lake, Lorain, Medina, and Geauga counties, plus Summit and Portage counties. As of mid-2026 Ohio was mid-transition on a restructuring called Next Generation MyCare, so families should confirm current plan and county status directly with the Ohio Department of Medicaid.

What are Ohio's income and asset limits for nursing home Medicaid in 2025?

As of 2025, the income limit for a single applicant is $2,901 per month, 300 percent of the SSI federal benefit rate, and the asset limit is $2,000 for a single applicant or $3,000 combined for a couple where both need care. A community spouse can keep between $31,267 and $148,620 in countable assets under the Community Spouse Resource Allowance. These figures adjust annually and should be confirmed with the Ohio Department of Medicaid or an elder law attorney.

How do I actually apply for Medicaid long-term care coverage in Ohio?

Applications go through the Ohio Department of Medicaid at benefits.ohio.gov, or families can contact the Area Agency on Aging serving their county for help with a waiver assessment and to get on any relevant waiting list. Applicants need to meet both the nursing-facility level-of-care clinical standard and the state's non-MAGI financial eligibility rules.

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.

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