Group home
A licensed house where a few elderly or disabled residents live and are cared for. It is a business, and it is also somebody home, which is why the state watches it closely.
What you need
Ohio's health care facility licence covers exactly six types: ambulatory surgical facility, freestanding dialysis centre, freestanding inpatient rehabilitation facility, freestanding birthing centre, freestanding radiation therapy centre, and diagnostic imaging centre.
Ohio Department of Health — Bureau of Regulatory Operations
Nursing homes, residential care, home health and hospice are each licensed under their own separate programme and their own statute — not under this one. Nevada's HCQC is a broader single door; do not assume one application covers your facility type.
Open the official page ↗There is no county general business licence in Ohio and no Columbus general business licence either. The county auditor issues only four licences — kennel, junk yard, retail cigarette dealer, and vendor's license. Columbus licenses trade by trade.
Franklin County Auditor — and the City of Columbus Income Tax Division
What replaces the licence fee, and what a Nevada reader will miss entirely, is the municipal income tax. Columbus takes 2.5% of business net profits and requires an annual return from anyone conducting business in the city. Whitehall, Reynoldsburg and Gahanna each levy their own at their own rate. Working in one city and living in another means two returns. This, not a licence, is the real recurring local cost.
Open the official page ↗Ohio's health care facility licence covers exactly six types: ambulatory surgical facility, freestanding dialysis centre, freestanding inpatient rehabilitation facility, freestanding birthing centre, freestanding radiation therapy centre, and diagnostic imaging centre.
Ohio Department of Health — Bureau of Regulatory Operations
Nursing homes, residential care, home health and hospice are each licensed under their own separate programme and their own statute — not under this one. Nevada's HCQC is a broader single door; do not assume one application covers your facility type.
Open the official page ↗
What to buy
- A house that satisfies the inspection, which is most of the money
- Beds, safety rails and whatever the fire inspection asks for
- Staff, and their background checks, before you open
- Enough cash to run empty while the licence is processed
Checked September 3, 2026