Cleveland

Bring Happier Aging® to Ohio

Ohio is already one of America’s grayest states—and it’s aging fast. Recent estimates show about 2.1 million Ohioans are 65+, making up 17.85% of the population, higher than the U.S. average (16.84%). Neilsberg You can explore this in detail in the Ohio population by age breakdown, based on the 2019–2023 American Community Survey.

Researchers at Miami University’s Scripps Gerontology Center project that by 2025, more than one in four Ohioans will be age 60 or older, with minimal overall population growth—but a sharply older age mix. That means rising demand for home care, dementia support, and family caregiver relief in every corner of the state.

At the same time, older adults overwhelmingly want to stay where they are. A national AARP 2024 Home & Community Preferences Survey found that 75% of adults 50+ want to remain in their current home and 73% in their current community for as long as possible. Home care isn’t just a preference in Ohio—it’s the solution that lets people follow through on that desire.

Nurse Next Door’s Happier Aging™ philosophy, built on the principles of choice, purpose, respect, autonomy and belonging, is designed to support exactly that kind of aging-in-place experience. You can read more about the approach on our Happier Aging™ page and our Bold Brand overview..

Why Ohio Is a Strong Home Care Franchise Opportunity

1. A large and rapidly aging senior population

• Ohio has over 2.1 million residents 65+, already a larger share of seniors than the national average.
• The Scripps Gerontology Center notes that Ohio is the seventh most populous state and that its population is projected to grow by less than 1% over the next 30 years, but older adults will make up a much bigger share of that population.

An older, stable population is ideal for a home care franchise focused on long-term relationships and recurring services.

2. Multiple major metro hubs—and suburban & rural demand

Ohio’s opportunity isn’t confined to a single city. You have multiple strong markets:

• Columbus (Central Ohio) – The Columbus metropolitan area has an estimated 2.23 million residents (2024) and is one of the fastest-growing metros in the Midwest, with a diverse economy anchored by state government, Ohio State University, and major employers.
• Cleveland–Elyria – The Cleveland–Elyria MSA has 2.09 million people, including 404,586 residents age 65+—nearly one in five people in the metro area.
• Cincinnati, Dayton, Toledo, Akron & Youngstown – Each metro has aging suburbs and bedroom communities where families want to keep Mom or Dad at home but need support.

Your territory may focus on a single metro, a cluster of counties, or a mix of suburban and rural communities, depending on how Nurse Next Door structures available territories over time.

3. High and growing need for dementia & complex care

Ohio’s aging profile is already translating into significant clinical need:

• According to an Axios summary of the Alzheimer’s Association data, more than 236,000 Ohioans are living with Alzheimer’s disease, and about 11.3% of Ohioans 65+ have Alzheimer’s.

These conditions create sustained demand for specialized in-home support, respite care, and family coaching—services that Nurse Next Door locations are already known for providing in other markets. See, for example, our Vancouver, BC location page, which highlights 24/7 care, Alzheimer’s & dementia expertise, and flexible, personalized care plans.

4. A robust healthcare ecosystem to partner with

Ohio’s healthcare landscape is dense and sophisticated, giving you ample opportunity for referrals and partnerships:

• A Definitive Healthcare analysis reports that Ohio, with nearly 11.8 million residents, has more than 320 hospitals and 15 integrated delivery networks (IDNs)—including Cleveland Clinic, University Hospitals, Ohio State University Wexner Medical Center, OhioHealth, and many more.
• These systems increasingly look to home- and community-based care partners to reduce readmissions, support safe discharges, and provide ongoing chronic-disease management.

Having a clinically credible, values-driven home care brand makes it easier to build relationships with hospital discharge planners, physician groups, and community agencies.

5. Seniors want to age in place—Ohio is primed for home care

The AARP 2024 Home & Community Preferences Survey confirms that:

• 75% of adults 50+ want to stay in their current home as long as possible.
• 73% want to stay in their current community.

Ohio’s large share of older homeowners, plus long-tenured communities in cities, suburbs, and small towns, means there is strong cultural and emotional pull to “stay put.” A premium home care franchise that emphasizes joy, independence and purpose—as Nurse Next Door does through Happier Aging™—directly aligns with what Ohio seniors say they want.

How Nurse Next Door Helps You Build a Standout Home Care Business in Ohio

Nurse Next Door is a global home care brand with 400+ franchise locations across North America, Australia and England, offering services from companionship to 24/7 nursing. Learn more about the model on the Nurse Next Door home care franchise site.

As an Ohio franchise partner, you benefit from:

1. A differentiated brand & philosophy

• Happier Aging™ focuses on what’s still possible—helping clients reconnect with hobbies, routines and meaningful experiences, not just tasks of daily living. See our Happier Aging™ explainer and brand overview for how this comes to life.
• A bold, highly recognizable brand that stands out from traditional “clinical” home care competitors.

This emotional, optimistic positioning can resonate especially well in Ohio communities where family, tradition and “loving where you live” matter.

2. Centralized 24/7 Care Services Center

Instead of each local owner managing after-hours calls, scheduling and logistics, Nurse Next Door’s Care Services Center acts as a 24/7 command hub—handling client inquiries and scheduling so you can focus on growth, culture and relationships.

That support can be particularly valuable in Ohio’s multi-shift economy (healthcare, manufacturing, logistics) where families may need care coordination outside typical business hours.

3. Proven systems, training & peer network

• A franchise system that has been growing since 2007, now operating hundreds of locations and recognized in franchise rankings globally.
• Access to marketing assets and playbooks you can localize for Ohio—whether you’re targeting hospital partners in Columbus, senior centers in Cleveland’s suburbs, or faith-based communities in smaller towns.
• A network of fellow franchise owners you can connect with for best practices, problem-solving and support.

You can see how Nurse Next Door presents location-level service stories on pages like Surrey, BC and Delta, BC, which showcase personalized care, 24/7 availability, and a strong local presence—templates that can adapt well to Ohio cities and counties.

Ready to Make Lives Better in Ohio?

Ohio’s demographic wave of older adults, strong health systems, and deep-rooted communities make it a powerful market for a Nurse Next Door home care franchise.

To explore territory availability and learn how the model could work in your preferred Ohio region, you can:

• Visit the main Nurse Next Door home care franchise site for an overview of the opportunity.
• Review how we present another U.S. opportunity, such as the Boston, MA available franchise page, as a blueprint for what your future Ohio opportunity page could look like.

From Cleveland’s lakefront to Columbus’ growing tech hub to small towns across the state, there is a clear and growing need for joyful, reliable home care. Nurse Next Door’s systems, brand and Happier Aging™ philosophy give you a platform to meet that need—and build a meaningful business at the same time.

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