When More Support Is Needed—But Home Still Matters
As our loved ones age, finding the right care setting becomes one of the most important and sensitive decisions a family can make. While options like assisted living and skilled nursing are more commonly known, residential care homes—also called adult care homes or board-and-care homes—offer a more intimate alternative that’s often overlooked.
But what exactly is a residential care home? And could it be the right fit for your loved one?
What Is a Residential Care Home?
A residential care home is a licensed, home-like setting where a small number of older adults live together and receive non-medical care. These homes are typically located in residential neighborhoods and serve between 4 to 10 residents, offering a more personal, family-style environment.
Key Features:
✔️ Private or shared bedrooms in a house-like setting
✔️ Home-cooked meals and snacks
✔️ Assistance with daily living activities (bathing, dressing, medication reminders)
✔️ 24/7 caregiver support
✔️ Socialization in a quiet, familiar environment
They are ideal for older adults who need help with daily tasks but do not require intensive medical care.
How Does a Residential Care Home Differ from Other Options?
| Care Type | Setting | Number of Residents | Medical Services | Level of Personal Attention |
|---|---|---|---|---|
| Residential Care Home | Private home | 4–10 | Non-medical | High |
| Assisted Living | Larger community | 20–200+ | Some on-site medical staff | Moderate |
| Skilled Nursing Facility | Clinical environment | Varies (often 50+) | 24/7 medical care | Moderate to Low |
| Home Care | Own home | 1-on-1 | Varies by provider | Very High (if 24/7 care is arranged) |
Here are some signs that a residential care home may be a good fit:
✅ Your loved one needs help with personal care but doesn’t require 24/7 nursing care
✅ They feel overwhelmed in larger facilities or dislike crowds
✅ They value consistency and benefit from close, familiar relationships
✅ You’re seeking a more personalized, less institutional environment
✅ You want caregivers who can provide hands-on attention in a quiet setting
However, if your loved one has complex medical needs, requires memory care for advanced dementia, or benefits from the structure of a larger community, another option might be more appropriate.
Pros and Cons to Consider
Pro
• Home-like setting that feels more personal and less clinical
• Lower resident-to-staff ratio
• Predictable routines and individualized care
• Often more affordable than assisted living or nursing homes
Con
• Limited social or recreational programs
• Fewer amenities than large senior communities
• May not offer memory care or on-site medical services
• Varies greatly in quality depending on ownership and licensing
Questions to Ask When Touring a Residential Care Home
If you’re exploring this option, ask:
- What is the caregiver-to-resident ratio?
- Are staff members trained in dementia care or chronic conditions?
- What’s the daily routine like?
- Are meals customized for dietary needs?
- How are medications managed?
- Is there a plan for emergencies or medical issues?
Tour multiple homes, speak with staff and residents if possible, and trust your instincts about the environment and level of care.
Final Thoughts
Choosing the right care setting for your loved one isn’t just about services—it’s about comfort, dignity, and peace of mind. A residential care home might offer just the right blend of support and familiarity your loved one needs to thrive.
If you’re unsure where to start, consider speaking with a licensed nurse advisor or senior care consultant. Their insight can help you weigh your options and make the best decision based on your loved one’s needs, values, and lifestyle.
Need help deciding?
Speak with one of our licensed Nurse Advisors to explore the best care options for your loved one—at no cost to you.
