4th Gen Senior Living

Board and Care Homes

Board and care homes are houses in residential neighborhoods that are equipped, adapted, and staffed to care for a small number of residents, usually between two and 10.

These homes provide comparable care to what’s offered at assisted living communities, but still usually less than what a nursing home provides. This means board and care homes can help with daily routines, but typically don’t provide 24-hour skilled nursing assistance.

Caregivers at board and care homes prepare two or three home-cooked meals a day for residents and typically help with activities such as:

  • Mobility
  • Health condition monitoring
  • Grooming and hygiene
  • Medication management
  • Toileting

Group home and other names for board and care homes

Board and care homes may be referred to as:

  • Residential care home
  • Adult family care home
  • Group home
  • Senior group home
  • Adult foster care home
  • Personal care home

In some regions, one term is more popular than the others. In California, “board and care home” is a common term, while in North Carolina, you may hear “group home.” But don’t let all these names confuse you — they’re essentially the same concept.

When is a board and care home the right fit for a loved one?

Board and care homes for seniors may be a better fit for loved ones who:

  • Prefer a cozy, intimate, and homelike environment
  • Need some help with everyday tasks, such as dressing and bathing, but don’t need 24-hour skilled care
  • Want a home with fewer residents, which allows for more interaction and attention from staff
  • Would enjoy a relaxed, unstructured environment
  • Want the privacy of a bedroom without all the responsibilities of an entire apartment, such as housekeeping

How much does a board and care home cost?

The cost of living in a board and care home depends largely on location. Cost is tied to local real estate value.

Prices vary — generally, a board and care home could cost anywhere from $1,500 to $4,500 per month and in high real estate markets such as California, the monthly cost might be as high as $10,000.

Cost also depends on:

  • Room privacy (A shared room costs less than a private room.)
  • The type of services offered (Some charge $5,000 to $6,000 a month, but these are typically homes that specialize in dementia care.)
How do I learn more about senior living options?

Senior living choices have expanded as the needs and expectations of older adults have changed over the past several decades. Figuring out the best option for your loved one’s needs is crucial for keeping them healthy, active, and safe. At no cost to you, our 400 local senior living experts can guide you through all the senior living options and help you find the right fit for your family.

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