From what I’ve heard, there are reputable local management companies in regions like San Antonio or Omaha that handle everything from screening tenants to arranging quick repairs.

There are reputable companies out there, however, but I would shy away from any company that mentions turn-key.Long story short, real estate is very forgiving over time and these properties cash flow well and I was able to build a great team for future deals. 

@Martti Eckert how do you plan to find reputable contractors that won't take advantage of you when they find out you're OOS?

As an REI CPA in CA, I would say doing due diligence in vetting their firm’s reputation.

Sometimes in the very beginning, piggybacking from the reputation of your broker can be helpful as you begin to build your own professional RE reputation.   

I'm considering a fixer upper to retain as a rental but need guidance on how to pick reputable contractors.  

@Devonair Jackson   PCMag is a reputed publication and they seem to like it as shown herehttps://www.pcmag.com/reviews/zoho-crm

You can start by looking on the better more reputable crowdfunding.  

Toledo's economy has been more reliant on manufacturing, so understanding local economic trends is crucial.Beyond Cleveland and Toledo: You asked about other Ohio cities.

Move as much of that manufacturing South of Panama as possible.