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State Differences in Residential Care Services

Just as the exterior of every residential care home is not the same, the residential care services they offer will differ depending on which state they're in. Although each care home provides residential care services for elderly adults, the specifics of the care offered changes within each state border. For example, some states require nursing oversight in each home. Some states don't have set legal standards.

The chart below includes states where families contacting A Place For Mom often choose to look at residential care homes (RCHs) for their loved ones. For further information on residential care services in other states' RCHs, or more specifics on the following states' homes, contact your A Place for Mom Senior Living Advisor.  








What is the state's most common name for a RCH?

Group Home

Board and Care Home

Personal Care Home

Adult Foster Home or Adult Care Home

Care Home or Group Home

Adult Family Home

Does the state have set legal standards?1







How many residents are typically allowed to reside in a RCH?

Depends on size of home, usually 4 to 6

Typically licensed for 6 to 8

2 and up; state licensing board decides

5 residents or less

Typically 4 to 6

No more than 6

What is the typical staff-to-patient ration?

2 caregivers to 6 residents

2 caregivers to between 6 & 8 residents

1 caregiver to between 3 and 6 residents

1 caregiver to 5 residents

2 caregivers to 6 residents

1 caregiver to 5 residents

What is the typical cost of a RCH?

Shared room: $2000; private room: $2500

Comparable to assisted living: as high as $3500 base (plus care) for shared room, or under $1000 for Supplemental Security Income rates

Shared room: $1200 to $1500; private room: $1500 to $2000

Few shared rooms available: start at $1400; private room: start at $2000

Shared room: $2200; private: $3000

Shared room: $3000; private room: $4000

Is nurse involvement typical?


Some run by nurses; some have nurses contracted for services


A nurse must delegate care at each home

Varies; usually at homes with mid-to high-level care

Yes, nursing oversight is required

Are skilled nursing needs ever met?







How do patients pay?

Usually private; some Medicaid

All private pay

Usually private; some accept state funds

Private pay or Medicaid

Private pay

Private pay; some allow Medicaid


1 For more information on state licensing, contact your state's Agency on Aging. Often, surveys for each licensed home are available.

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