Board and Care Homes vs Assisted Living: What Is the Difference?
Not all senior care happens in a large community. Many older adults live in small, home-based settings that go by names such as board and care home, residential care home or adult family home. The names and rules differ by state, so this guide covers the general idea and what to ask.
What a board and care home usually is
It is typically a regular house in a neighborhood where a small number of residents live and receive help with daily tasks such as meals, bathing, dressing and medication reminders. The setting is often quieter and more home-like than a large building.
What assisted living usually is
Assisted living is generally a larger community with apartments or rooms, shared dining, activities and staff on site. Many offer several levels of care and a wider range of amenities.
Common differences
- Size: small homes have few residents; communities can have many
- Atmosphere: a household feel versus a campus or building feel
- Staffing: small homes may have fewer staff at a time, so ask about overnight coverage
- Amenities: larger communities often have more programs, common spaces and services
- Licensing and names: terms and rules vary by state, so ask what license the home or community holds
Who may prefer a small home
Some people like personal attention and a calm environment. Others want more activities and social options, which a larger community may offer. The right fit depends on the person.
Things to check at either type
- Ask to see the state license and the latest inspection or survey results
- Ask what level of care is provided and what would require a move
- Ask about staff training and how many residents each caregiver supports
- Ask for the full monthly price and what is extra
- Ask about emergency plans and how medical needs are handled
- Visit more than once, at different times of day
Memory care needs
If your loved one has dementia, ask whether the home or community has staff trained in memory care and a safe, secured setting. Not every small home is set up for that.
Next step
An advisor can help you compare options in your area. HavenLine is a referral service, not a care provider, and it does not operate or license any home or community.
Questions
Are board and care homes the same as assisted living?
Not always. Names and rules differ by state. Ask what license the home holds and what services it can provide.
Is a small home cheaper?
It can differ either way. Ask for a written price list from each place and compare what is included.
General information only, not financial, legal or insurance advice. Rules, prices and benefits vary by state and by policy. A licensed professional can explain what applies to you.