In short
Residential care homes, also called board and care homes or group homes, are small private residences, usually with 20 or fewer residents. They provide meals, personal care and staff around the clock, but usually no nursing or medical care. Medicare doesn't pay; Medicaid may help in some states. States license them under various names.
What they offer
NIA describes board and care homes as small facilities with private or shared rooms, personal care, meals and staff available around the clock. Nursing and medical care usually are not provided at the home.
Different names by state
States use different licenses and names. Florida, for example, licenses adult family-care homes, where the owner lives in the home and provides care for no more than five residents. Other states call similar homes personal care homes, residential care facilities or small assisted living homes.
Who they suit
- People who need personal care and supervision but not nursing
- People who do better in a quiet, family-style setting
- Families who want a smaller staff to resident group
Check before you choose
- Confirm the license with the state agency
- Ask who is awake at night
- Ask what happens if needs increase
Questions families ask
What is a board and care home?
A small residence, usually 20 or fewer residents, offering meals, personal care and round-the-clock staff, typically without nursing care.
Does Medicare pay for board and care?
No. NIA says Medicare doesn't cover these costs; Medicaid may give partial coverage depending on the state.
Are board and care homes licensed?
Yes, by the state, under names that vary. Check the license before touring.
How is a board and care home different from assisted living?
Mainly size and setting. Board and care homes are smaller and more home-like; assisted living communities are larger, with more amenities.