Residential Care Facilities

Find Residential Care Facilities Near You

What is a residential care facility? See the full definition

Residential care facility is the umbrella term. It's used by federal researchers, academic studies, and by state agencies that prefer a formal, generic label over the folksier names like board and care home or adult family home. A residential care facility is any licensed home or building where older adults live together and receive help with daily activities, without rising to the level of skilled nursing care.

Several states use some variation of this phrase in their formal licensing vocabulary. California has Residential Care Facilities for the Elderly, commonly abbreviated as RCFE. Oregon has residential care facilities as a distinct license category separate from adult foster homes. Colorado uses the term assisted living residence with similar meaning. The Centers for Medicare and Medicaid Services and the National Center for Health Statistics both use residential care facility as their umbrella category when publishing national data on senior living.

The scale of a residential care facility varies enormously. On one end you have six-bed single-family houses that feel exactly like a home, with a shared dining table and a caregiver who knows everyone's favorite breakfast. On the other end you have three-hundred-bed buildings that look and operate much like traditional assisted living. AgeSong focuses on the small end of the spectrum: facilities with fifteen or fewer residents. These are the homes where residents know each other's life stories, where atmosphere is quieter and more personal, and where a new resident can settle in without feeling lost in a crowd.

If you're searching for care and you don't know which term your state uses, residential care facility is your safest generic starting point. From there, use the state directory to find out the local term (RCFE in California, adult family home in Washington, personal care home in Georgia and Pennsylvania, and so on) and narrow your search. Every AgeSong listing includes the state license number and a direct link to the official state licensing database, so you can verify any home's status and inspection history yourself.

Also Known As

Different states use different vocabulary for essentially the same kind of home. If you're searching across state lines, it helps to recognize the alternatives.

Frequently asked questions

What is a residential care facility?
A residential care facility is a licensed home or building where older adults live together and receive help with daily activities like bathing, dressing, meals, and medication management, but not skilled nursing care. "Residential care facility" is the umbrella term used by federal researchers, academic studies, and several state agencies. It covers the whole range from tiny six-bed homes to large assisted living communities.
How is a residential care facility different from a nursing home?
A residential care facility provides non-medical care: help with activities of daily living, meals, supervision, and medication reminders. A nursing home (also called a skilled nursing facility) provides medical care: licensed nurses on duty around the clock, rehabilitation services, wound care, and physician oversight. Residential care facilities are appropriate when an older adult needs daily help but is medically stable.
Which states use "residential care facility" as an official term?
California uses Residential Care Facility for the Elderly (RCFE) as its formal license category. Oregon has a distinct residential care facility license separate from its adult foster home category. Colorado uses Assisted Living Residence with a similar meaning. Virginia licenses Assisted Living Facilities that function similarly. The Centers for Medicare and Medicaid Services and the National Center for Health Statistics also use residential care facility as their umbrella category in national data.
How do I find a small residential care facility in my state?
Start with the AgeSong state directory. Pick your state, and we'll show you the local term, the licensing agency, and every licensed small facility we have data for. You can also search the official state licensing database (linked from every state page) to verify a facility's license status and inspection history before you visit.

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