Quote from @Raven Jackson: Hi everyone,I’m reaching out because I’m at a pivotal point in my life and looking for advice from those who’ve been through major life transitions and successfully built real estate portfolios.I’m a registered nurse by trade, but after an injury and becoming temporarily (possibly permanently) disabled, my work and income situation have changed significantly.

She was unable to answer MANY questions during meetings with creditors, saying she had MEMORY ISSUES AFTER SUSTAINING A BRAIN INJURY from hitting her head on a concrete table when she fell in late 2021. 

Medical Payments: Provides coverage for an injury suffered on the premises.

Since you're on a month-to-month lease in Ohio, you generally have the flexibility to issue a 30-day notice without cause, but the key is to avoid any appearance of retaliation tied to the injury claim.Given the safety concerns, repeated issues, and impact on your Airbnb business, documenting everything and proceeding carefully makes sense.

Possibly an injury etc.

They’ll be used to the request, it’ll be a tax deductible expense, you’ll free up personal time, and it will protect you from any lawsuits regarding theft or injury. 

That policy will provide benefits for guest death and injury, provided you as the owner were not grossly negligent in providing a safe accommodation.

Something like:“Our rent scales with the number of adult occupants, to reflect usage and property impact.”Just make sure that same rule would apply to any group of adults, not just this specific situation.Legal Risk & LiabilityIf those three individuals aren’t on the lease, it does open you up a bit:You can’t enforce lease terms against them directly.If something goes wrong — injury, damage, etc. — your liability coverage might get murky.You might also bump into local zoning or occupancy restrictions, depending on your town.What you can do:Add a clause in the lease that limits total adult occupants.Ask the caregiver’s agency to provide something in writing — maybe a letter confirming they’re licensed and insured, and that this is a formal care arrangement.Spell out in the lease that the caregiver's responsible for all occupants, even if they’re not on the lease.Also might be worth double-checking your insurance — make sure you’re covered for this kind of setup.Would I Rent to Them?

Eventually the parted out multifamily sat overpriced forever and more often than not one person buys into the “Condo” and makes nixing the condo idea altogether irreversible.

You'll have more wear & tear, noise, and risk of personal injury with additional kids running around.But it's your business, and your decision.