Personal Care Home / Residential Personal Care Home
Designed for individuals who require assistance with everyday activities. For example: 3 meals and 2 snacks a day, medication management, housekeeping, laundry or assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, medication reminders and medication management in a more independent, residential “home-like” environment than a traditional nursing home. Staff available 24/7. Transportation especially to and from medical appointments but often to nearby restaurants and shopping, activities, recreational opportunities, trips and programs. The physical environment of a personal care home community is often more appealing to both residents and their families. With apartment styles or bedrooms that typically include studio and one-bedroom or two-bedroom styles. Personal Care Homes vary in levels of care. Residents are typically assessed upon move in, or any time there is a change in condition. The assessment is used to develop an individualized plan of care. Some residents may have memory disorders including Alzheimer’s, or they may need help with mobility, incontinence or other challenges. Because of the homes’ intimate settings, owners can often specialize in particular resident needs such as diabetes care, memory care, residents with special diets, as well as other needs. Residents may also receive coordination of care with health providers such as home care, home health and hospice. The terms Assisted Living and Personal Care are interchangeable. However, in the senior industry people usually refer to smaller homes, licensed for 24 beds and fewer, as Personal Care Homes and larger ones as Assisted Living Homes. Residential personal care homes deliver Assisted Living type care in a smaller environment, usually a residential home. Due to their size, they have a higher ratio of caregivers to residents, which makes them ideal for more individual attention and care. Residential personal care homes are governed by the same state requirements as larger communities. Without the overhead of a larger community, residential personal care homes are generally the most affordable senior living option. This type of setting is a great option for residents who do not want to live in a larger community environment but still require a level of assistance similar to that offered by an assisted living facility or a nursing home. Those individuals entering this type of home cannot require skilled nursing care and must be ambulatory. A residential personal care home provides personal care services, room and board to up to six adults. Residential Care Homes are known by several different names including: adult family homes, personal care homes, adult foster homes, group homes, or board and care homes. Personal Care Homes are often less expensive than in home care or nursing home care. Personal Care Home community settings vary across the nation. An personal care home residence is more costly than an independent living community, but usually less than memory care. Sometimes a small PCH is a better option than a large PCH/ALC. For example, a large PCH/ALC may require a family to bring in additional care to take care of their loved one, which will run up the monthly cost tremendously. If moved to smaller PCH, there is almost never a need for additional care as there is a minimum 1:6 staff to resident ratio.
Note: An assessment, physician’s evaluation form within the past 30 days, a clear TB Test within the past 30 days OR a chest x-ray within the past 6 months to a year depending on the communities requirements.
Pricing & How It Is Covered
Private Pay – Month-to-Month Lease, (pricing can be structured by all-inclusive rates, multi-level rates and/or base rent plus additional levels of care rates), Long Term Care Insurance, VA Benefits. Residential Care Homes are typically private but there are a few exceptions through the CCSP/SOURCE Program. Prices for Assisted Living vary with the residence, apartment size, and types of services needed. Prices range from $1500 – $6000+ per month. Note: Medicare or Medicaid benefits do not cover Personal Care Home costs.
Services Typically Include:
- 24-hour staffing
- 3 home cooked meals or restaurant style meals served in a dining room
- Alzheimer’s care, secured communities
- Assistance with activities of daily living (ADL’s), such as eating, bathing, dressing, using the restroom, and walking
- Beauty and barber salon
- Caregiver support & groups
- Emergency call systems in the rooms
- Exercise & wellness programs
- Family engagement activities
- Health and medical services, such as physical therapy, occupational therapy, speech therapy, home care, home health, and hospice
- Housekeeping services
- Incontinence care
- Kitchenettes in the apartment
- Laundry services
- Maintenance repairs
- Medication management
- Memory Care Programing for residents with cognitive impairments such as short term memory care, dementia, Alzheimer’s, Parkinson’s Disease, Lewy Body Dementia, Progressive Supranuclear Palsy, etc.
- Offer a wide variety of non-medical services
- Social & activity programs
- Shared/companion, studio, private 1 and 2 bedroom apartments
- Special diets