boardandcare

Board and care, also known as residential care homes, are small-scale facilities that provide lodging and non-medical personal care for seniors or individuals with disabilities who need assistance with daily activities but do not require 24-hour skilled nursing. They are typically housed in converted houses or small buildings and commonly accommodate a limited number of residents, often four to ten, in a home-like setting that contrasts with larger institutional care facilities.

Typical services include meals and housekeeping, transportation, help with activities of daily living such as bathing, dressing, and mobility, and medication reminders or supervision. Staff provide around-the-clock supervision and safety monitoring, along with organized social and recreational activities to support residents’ well-being. Medical care is usually arranged through external providers, with nursing or allied health services offered only where licensed or contracted.

Care models vary by jurisdiction but commonly emphasize a personalized, family-like atmosphere and closer day-to-day contact with caregivers and house managers. Staffing is typically smaller than in larger facilities, with caregivers employed by the facility and on-site administration handling coordination with external health professionals and services. Some facilities offer specialized care, including dementia or memory care, respite stays, or short-term rehabilitation coordination, depending on licensing and capabilities.

Regulation and licensing are determined at the state or national level and cover licensing, safety standards, staffing ratios, resident rights, and inspections. Requirements vary widely, so prospective families should verify specific licenses, care offerings, and visitation policies in their location. Costs are usually private-pay, though some jurisdictions support publicly funded programs or waivers that may partially cover board and care services.