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Board and Care Homes: Small-Scale Senior Living with a Personal Touch

Imagine a cozy, regular house where a few seniors live together and get help with their daily needs. That’s essentially what a “board and care home” is. It’s a type of senior living that offers a more intimate and home-like setting compared to larger assisted living facilities.   

What are Board and Care Homes?

Board and care homes,” also sometimes called residential care facilities, are small, privately-owned homes that provide 24-hour care for a limited number of seniors, usually between 6 to 10 residents. These homes offer a more personalized and home-like environment than larger assisted living communities.   

Here’s what makes them stand out:

  • Small Setting:
  • Home-Like Atmosphere:
    • Residents live in a typical house, creating a sense of familiarity and comfort.   
  • Personalized Care:
    • Caregivers get to know each resident’s needs and preferences intimately.   
  • Family-Style Living:
    • Residents often share meals and participate in activities together, creating a sense of community.
  • Generally More Affordable:
    • In many cases, the cost is less than a larger assisted living facility.   

In a “board and care home,” residents receive assistance with:

Board and Care Homes and Senior Living

Board and care homes” are a great option for seniors who:

  • Prefer a smaller, more intimate setting.
  • Want personalized care and attention.
  • Are looking for a more affordable option.
  • Value a home-like atmosphere.
  • Need assistance with daily living activities but don’t require intensive medical care.

The Misconception: “Board and care homes” are just less fancy assisted living facilities.

The Interesting Angle: “Board and care homes” are like “neighborhood sanctuaries,” offering a unique blend of personal care and community within a familiar residential setting. It’s not just about providing assistance; it’s about creating a safe and supportive haven where seniors can thrive. It is about a neighborhood level of care, and not just a scaled down institution.

Here’s why this is so important:

  • Sense of Community:
    • The small setting fosters close relationships between residents and caregivers.   
    • This creates a strong sense of community and belonging.
  • Personalized Attention:
    • Caregivers can provide individualized care based on each resident’s specific needs.   
    • This leads to improved well-being and quality of life.
  • Familiar Environment:
    • Living in a regular house can be more comforting and less overwhelming than a large facility.
    • This can be especially beneficial for seniors with cognitive impairments.
  • Integration:
    • Often these homes are located within normal neighborhoods, which allows for continued connection to the outside community.

Things to Consider When Choosing a Board and Care Home:

  • Licensing and Regulations:
    • Ensure the home is licensed and meets state regulations.
  • Caregiver Qualifications:
    • Ask about the caregivers’ experience and training.
  • Resident-to-Caregiver Ratio:
    • A low ratio ensures personalized attention.
  • Home Environment:
    • Visit the home to assess its cleanliness, safety, and atmosphere.
  • Care Services:
    • Confirm that the home provides the services your loved one needs.
  • Cost and Payment Options:
    • Understand the costs and payment options available.
  • Communication:
    • How often will communication with family members occur.

How to find a Board and Care Home:

  • Online Directories:
  • Referral Agencies:
    • Contact senior care referral agencies for assistance.
  • Local Agencies:
    • Contact your local Area Agency on Aging.
  • Word of Mouth:
    • Ask for recommendations from friends, family, or healthcare professionals.

Additional Information:

  • Regulations Vary: The regulations and licensing requirements for “board and care homes” vary from state to state.  
  • Caregiver Training: It is important to ask about the specific training that the caregivers have received.
  • Medical Care: “Board and care homes” typically provide assistance with daily living activities but do not offer extensive medical care.   

Resources:

  • Area Agency on Aging (AAA):
    • Provides information and resources for seniors in your local area.
    • Use the Eldercare Locator to find your local AAA.
    • Link: https://eldercare.acl.gov/
  • National Association for Home Care & Hospice (NAHC):
  • Caring.com:
  • Your State’s Department of Social and Health Services:
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