Home care · Franklin County, OH
Home care in Franklin County
Of the 1.3 million people in Franklin County, about 165,000 are 65 or older — one in eight residents. Most of them intend to stay in their own homes, and most of the care that makes that possible happens quietly, in living rooms, without anyone calling it "long-term care."
Below is what we'd tell a friend in Franklin County: what care costs here, who provides it, what the facility alternative actually looks like, and which programs pay.
Franklin County, in numbers
Full Ohio guide →Residents 65+
164,663
12.5% of the county.
Live with a disability
11.5%
About 150,494 people — the population most likely to need help at home.
Median household income
$69,762
20 hrs/week of care would run about 51% of it.
Certified agencies
413
Medicare-certified home health agencies serving local ZIPs; 63 rated, averaging 3★.
Sources: CDC/ATSDR Social Vulnerability Index 2022 (ACS 2018–2022), County Health Rankings 2024, and CMS Care Compare provider files.
What home care costs in Franklin County
Ohio's going rate for agency home care is around $34/hr. Twenty hours a week — four hours a day, five days a week, the most common schedule families start with — comes to roughly $2,900 a month, or $35,400 a year.
Median household income in Franklin County is $69,762 — that schedule runs about 51% of it. Manageable for some households here, and still worth checking whether a program can carry part of it.
Who provides care in Franklin County
413 Medicare-certified home health agencies serve ZIP codes in Franklin County. 63 of them carry a CMS quality star rating, averaging 3 out of 5. 374 report offering home health aide services.
One distinction worth getting straight before you call anyone: those are Medicare-certified home health agencies — skilled, doctor-ordered, intermittent care, usually a nurse or therapist visiting for a few weeks after a hospital stay. That is not the same as the hourly, non-medical help most families are actually looking for: bathing, dressing, meals, driving, company. Medicare pays for the first. It does not pay for the second.
The alternative, locally
Franklin County has 57 certified nursing homes holding 5,157 certified beds, averaging 2.7 out of 5 on CMS's overall rating. About 4,402 people live in them on an average day.
An average of 2.7 stars is below the Ohio average of 3.15, and it is worth knowing before a discharge planner hands you a list on a Friday afternoon. Look up any facility on Medicare's Care Compare by name — the overall star hides a lot, and the staffing rating is the one that best predicts what a Tuesday actually looks like.
The Ohio programs that pay for care at home
- PASSPORT Waiver
- MyCare Ohio
- Assisted Living Waiver
Ohio runs 3 Medicaid pathways that pay for care at home instead of a nursing home. Each has its own income, asset, and care-need rules, and approval takes weeks to months — so the application is worth starting before the need becomes urgent.
How each Ohio program works →Caregiver training in OH
75 hrs
Minimum for certified aides (the federal minimum). Agencies are licensed by the OH Dept. of Health.
Choosing an agency in Franklin County
- Ask for the license. Ohio licenses home care agencies through the OH Dept. of Health. A legitimate agency shows its license without hesitating. One that changes the subject has told you something.
- Ask what the rate covers. Around $34/hr is typical in Ohio. A real agency's rate covers a trained, background-checked, insured caregiver plus supervision and backup staffing when your regular person is sick. A rate well under the local range usually means one of those is missing.
- Don't confuse a fast answer with a good one. With 413 certified agencies serving Franklin County, someone will always pick up. Ask specifically: can you staff the exact hours I need, with the same caregiver, starting when? Vague answers there predict vague service later.
- Ask about Medicaid now, not later. If money is going to be the constraint, ask about PASSPORT Waiver at the first call. Approval takes weeks to months, and private pay is what bridges the gap — so the sooner the application starts, the smaller that bridge is.
Want to talk it through?
We provide care in the Milwaukee, WI area — but we’re glad to help any family think through the options in Franklin County.
Franklin County home care questions, answered
How much does home care cost in Franklin County, OH?
Agency home care in Ohio runs around $34/hr for private pay. At 20 hours a week that is about $2,900 a month. For context, median household income in Franklin County is $69,762. Rates move with the level of care and the schedule — short daily visits cost more per hour than long shifts.
Does Medicare pay for home care in Franklin County?
Medicare pays for skilled home health — a nurse or therapist, doctor-ordered, for a limited stretch, usually after a hospital stay. 413 Medicare-certified agencies serve Franklin County. Medicare does not pay for the hourly, non-medical help most families want — bathing, dressing, meals, driving, company. For that, the money comes from private pay, long-term care insurance, VA benefits, or Ohio Medicaid.
Does Medicaid pay for home care in Franklin County?
Yes — for people who qualify. Ohio runs Medicaid programs that pay for care at home instead of a nursing home: PASSPORT Waiver, MyCare Ohio, Assisted Living Waiver. Income, asset, and care-need rules apply, and approval usually takes weeks to months, so apply before you need it.
How are caregivers trained and vetted in Ohio?
Certified home health aides in Ohio complete at least 75 hours of training, the federal minimum. The state licenses home care agencies through the OH Dept. of Health, so ask to see an agency's license before you hire.
Is home care better than a nursing home in Franklin County?
It depends on the level of care needed, not on which one sounds nicer. Franklin County's 57 certified facilities average 2.7 out of 5 stars on CMS ratings, against a Ohio average of 3.15. Round-the-clock skilled nursing is something a facility does that home care cannot. But for help with bathing, meals, medication reminders, and company, care at home usually costs less and keeps someone in their own bed — and most people, asked plainly, say that is what they want.
Does Juniper at Home provide caregivers in Franklin County?
Not directly — our own caregivers serve the Milwaukee area of Wisconsin. This page is a free guide for Franklin County families: what care really costs here, who provides it, and which programs can help pay.
Bordering counties in Ohio