Cleveland never had anyone in Western PA or West Virginia (Pittsburgh had some people around Wheeling a long time ago). There's not even anyone left in Youngstown or the Mahoning Valley and there hasn't been any Cleveland family people there since the 80s (unless Orlie Carabbia counts - I believe he lingered for some time after his brother was murdered and the other was sent to jail for 20+ years).

All that's left of the Cleveland family is probably concentrated in Greater Cleveland, and they were never close to controlling even half of Ohio, much less "all of" it. They were concentrated in the Northeast quarter of the state, with nothing in Cincinnati or Columbus. They did have some far-flung interests in Vegas and maybe elsewhere.