What Is a Board and Care Home? Everything You Need to Know

When exploring care options for aging or disabled loved ones, the terms can get confusing—Board and Care, Assisted Living, Nursing Homes, and more. Among them, Board and Care Homes stand out as a more intimate and home-like solution. But what exactly are they, and who are they for?

In this blog, we’ll walk you through what a Board and Care Home is, how it compares to other care facilities, and why it might be the right fit for your loved one.


What Is a Board and Care Home?

A Board and Care Home—also known as a Residential Care Facility—is a small, licensed residential home that provides non-medical care and supervision to seniors and disabled adults. These homes typically serve 6 to 10 residents, offering a more personal, family-style living environment compared to large senior living communities.

Board and Care homes are especially popular in California, where they are regulated by the Department of Social Services.

Board and Care Home Definition: A licensed residential facility offering room, board, personal care assistance, and supervision for people who cannot live independently due to age or disability.

🏠 Board and Care vs. Assisted Living: What’s the Difference?

Both Board and Care and Assisted Living facilities provide help with daily activities like bathing, dressing, meals, and medication management. However, the key difference lies in size and environment.

FeatureBoard and CareAssisted Living
SizeSmall, usually 6 residentsLarge communities with 50+ residents
AtmosphereHomelike, quiet, personalMore social and resort-like
StaffingPersonalized, 24/7 careMay have higher staff-to-resident ratio
Medical ServicesLimited, non-medical careSome provide more advanced medical support

Board and Care vs Assisted Living ultimately depends on the level of care needed and the preferred setting.

🛌 Board and Care vs. Nursing Home

Another common comparison is Board and Care vs Nursing Home. Nursing homes are medical facilities, while Board and Care homes are residential settings focused on assistance with daily living.

FeatureBoard and CareNursing Home
Medical ServicesLimited to basic careFull-time medical staff, rehab services
CostGenerally lowerMore expensive due to medical care
EnvironmentResidential, homelikeClinical, hospital-like
Best ForSeniors who need help with ADLsSeniors with complex medical needs

If your loved one requires 24/7 medical supervision, a nursing home may be the right choice. But if they need help with daily activities and want a homey atmosphere, a Board and Care facility is ideal.


🧓 Who Needs a Board and Care Home?

Board and Care Homes for seniors are perfect for individuals who:

  • Need assistance with bathing, dressing, or eating
  • Are unsafe living alone
  • Have mild to moderate memory loss
  • Don’t require 24-hour medical care
  • Prefer a quiet, home-style setting

They’re also a great option for disabled adults, especially those with developmental or physical disabilities who benefit from supervised care in a nurturing environment. In fact, many families specifically search for Board and Care Homes for disabled adults.


📜 Board and Care Facility Requirements

In California, Board and Care Homes must be licensed by the California Department of Social Services (CDSS) and meet strict standards:

  • Maximum of 6 residents (some exceptions apply)
  • 24/7 supervision by trained staff
  • Assistance with personal care (ADLs)
  • Nutritious meals and snacks
  • Medication management
  • Fire safety and emergency protocols
  • Individual care plans for each resident

Residential Care Facility requirements vary by state, but California maintains some of the most detailed licensing rules in the country. Always check the license status before choosing a facility.


📍 How to Find Board and Care Homes Near Me

If you’re searching for Board and Care near me or Board and Care Homes near me, here are some tips:

  • Use trusted directories like Seniorly, A Place for Mom, or Caring.com
  • Search on Google with terms like “Board and Care homes in [City]”
  • Ask for referrals from social workers, hospital discharge planners, or geriatric care managers
  • Always schedule a tour to assess cleanliness, staff interaction, safety, and comfort

Don’t forget to check for proper licensing and talk to residents or their families if possible.


💰 Cost of Board and Care

The cost of Board and Care Homes typically ranges from $2,500 to $6,500 per month, depending on location, services, and level of care. Prices in California can be on the higher end due to demand and regulations. However, it’s often more affordable than a nursing home.

Some residents may qualify for assistance through SSI, Medi-Cal, or other state-sponsored programs, especially in California.


📌 Key Benefits of Choosing a Board and Care Home

  • Personalized attention with a high caregiver-to-resident ratio
  • Safe, home-like environment
  • Peace of mind for families
  • Affordability compared to nursing homes
  • Quick placement options for urgent care needs
  • Ideal for seniors who prefer quiet over large social environments

FAQs About Board and Care Homes

Q1: What is a Board and Care home in California?
A Board and Care home in California is a state-licensed residential care facility offering personal assistance and supervision for seniors or disabled adults in a small, home-like setting.

Q2: Are Board and Care homes the same as assisted living?
Not exactly. Board and Care homes are smaller and offer a homelike setting, while assisted living communities are larger and may provide more amenities and social activities.

Q3: What services are typically offered in Board and Care homes?
Services include meals, housekeeping, help with bathing/dressing, medication management, and 24/7 supervision.

Q4: Can I visit my loved one in a Board and Care home?
Yes, most homes have flexible visiting hours. Some also organize family events and regular updates for loved ones.

Q5: Are there Board and Care Homes for younger disabled adults?
Yes, some facilities specifically serve disabled adults, offering long-term care in a residential setting.


👇 Final Thoughts

If you’re looking for a compassionate, home-like environment for your aging parent or disabled family member, Board and Care Homes offer a flexible, affordable, and nurturing solution. From seniors needing daily assistance to disabled adults requiring supervision, these facilities provide the right mix of care and comfort.

Whether you’re comparing Board and Care vs Assisted Living or just starting your search for Board and Care near you, understanding your options is the first step toward peace of mind—for both you and your loved one.

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