Glossary
Personal care home
A personal care home is a licensed residence where adults who cannot safely live alone receive help with bathing, dressing, medication, and other daily needs, without skilled nursing care.
Also called: PCH
“Personal care home” is the license name Georgia, Kentucky, Mississippi, and Pennsylvania use for residential care. The phrase describes the service accurately: personal care, meaning hands-on help with the body and the day, as distinct from medical care.
What personal care means in a license
The regulated services are the activities of daily living. Bathing, dressing, grooming, toileting, transferring between bed and chair, and eating. Add supervision, meals, laundry, housekeeping, and medication assistance, and that is the license.
Skilled nursing is excluded. A personal care home is not licensed to provide wound care, injections, tube feeding, or the continuous nursing oversight a nursing home provides. Residents whose needs move into that territory usually have to move, though home health or hospice can sometimes come in from outside so a resident can stay.
The size range is wide, and states split it differently
Georgia licenses personal care homes at every size and separates them by capacity into family (two to six residents), group (seven to fifteen), and larger. The two-to-six category is the small residential model most families picture, and it is the majority of Georgia’s licensed homes by count.
Pennsylvania licenses personal care homes serving four or more residents, and runs assisted living residence as a separate, higher-service category. A Pennsylvania home licensed for four to eight residents is a small personal care home.
New Jersey uses a related name, the comprehensive personal care home, for a category with a higher service level.
What to check before you tour
Every state that uses this term publishes license status and inspection history. Georgia’s Department of Community Health and Pennsylvania’s Department of Human Services both run searchable databases, and both publish enforcement actions.
Two things are worth asking on the first call, because they are not in the database. Ask what the home does when a resident’s care needs increase, and ask whether the home accepts Medicaid, because coverage for personal care homes varies sharply between these four states and the answer changes what you can plan for.
Our state directories link straight to the official lookup tool for each state, and every listing carries its license number so you can check it yourself.
States using this term
Taken from each state's licensing statute. Open a state to browse its licensed small care homes by city.
Main license category in 4 states
Close variants of the same model
- New Jersey licenses a comprehensive personal care home
Different wording, same care model. Search the state database for the state's own term, not this page's title.
Related terms
- Assisted living residence
An assisted living residence is a state-licensed home where adults receive help with daily personal care in a residential setting. Several states use the word residence rather than facility to signal that these are homes, not institutions.
- Residential care facility
A residential care facility is a licensed home where adults live and receive help with daily personal care but not skilled nursing. It is also the umbrella term researchers and federal agencies use for the whole category, from six-bed homes to large communities.
- Activities of daily living
Activities of daily living are the six basic self-care tasks used across long-term care to measure how much help a person needs: bathing, dressing, toileting, transferring, continence, and eating.
- Licensed capacity
Licensed capacity is the maximum number of residents a state permits a care home to serve. It is set on the license, enforceable by the state, and the clearest single indicator of whether a home is small.