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.

Update: January 2018

State Arizona California Georgia Oregon Texas Washington
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 Yes Yes Yes Yes Yes Yes
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? Rarely Some run by nurses; some have nurses contracted for services No 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? Yes No Yes Yes Yes Yes
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.