Residential Care Homes

  • What are Residential Care Homes?
  • Single Family Homes with supervised, family style care.
  • Monitored care by State, Beltca, Ombudsman
  • High Caregiver to Resident Ratio
  • Cost Effective
  • Continuity of Care/Relationship with Caregivers
  • Home, not an institution
  • Managing Medications
  • Managing Primary Care
  • Communication with Family/Power of Attorney
  • Amenities
  • Alzheimer’s/Memory Care & other endorsements / areas of added training.


What are Residential Care Homes?

Residential Care homes (RCH) are private Residential Homes. This type of care setting focuses on individualized care and is much more personal and family–like than larger facilities.  Residential Care Homes have private and shared rooms.  They range in occupancy from 3 to 10 residents and generally have 2-4 caregivers for up to 10 residents (numbers vary based on the number of residents).


Caregivers in Residential Care Homes assist with ADL’s (activities of daily living) such as Bathing, Dressing, Grooming, Toileting, Medication Management, Meal Preparation, and Housekeeping/Laundry.  Caregivers have state required annual caregiver training, as well as training in medication management and various endorsements such as dementia, mental illness and/or Chronic Illness.

A variety of person centered actives are provided that cater to each individual residents interest;  Puzzles, Karaoke, Bingo, Music Therapy, Board Games, Arts & Crafts and even accompanied outings when they are able. Caregivers in this type of setting often have more free time to spend interacting with residents.


Single Family Homes with supervised, family style, care.

RCH are single family homes that allow seniors with memory loss, physical or cognitive disabilities, to live in the same residential communities as the non-disabled by receiving supervised, monitored, family style care by a team of trained caregivers.


Monitored care by State, BELTCA administrators, The Ombudsman

Residential Care Homes (RCH) and the care they offer are monitored by the state with an annual survey and active complaint line, by a BELTCA licensed administrator who is responsible for over sight of the care and protective supervision of the residents, and by the State LTC Ombudsman who makes unannounced visits to RCH in which they interview residents, caregivers, and monitor the safety of this frail group of people who now need assistance.


High Caregiver ratio

The resident to caregiver ratio in Residential Care Homes is usually 2-4 Caregivers for 10 residents or less which is much higher than in other settings like nursing homes or assisted livings. In addition, RCH’s provide 24 hr. care to assist during the night if issues arise. Caregivers of Residential Care Homes provide a family-like style of care and are usually trained in all facets of providing care and service.  This personal family–style care lends itself to more consistency in staffing and less caregiver turnover.   RCH are a good balance of independence, person centered care, safety, monitoring, quality of care, and cost.


RCH are much more cost effective than other senior care choices.

Residential Care Homes are a safe, state monitored, cost effective way to keep residents out of institutions and enable them to continue to reside in the residential communities they are accustomed to.  Compared to larger facilities with hundreds of residents where the owners are large corporations, the smaller, more intimate setting of RCH’s are often owner operated with the focus being more on customer satisfaction and the owners wanting to provide a good service and build personal relationships.  This structure lends itself to more a family style personal touch care than larger settings.  And while the care is more personal and less institutional than Skilled Nursing Homes or Assisted Living Institutions, the cost is usually 25% to 50% less than other options.


When considering value for your private pay LTC fees, RCH’s offer low cost and the added value of very strict oversite & monitoring by the state, a BELTCA certified administrator and the State Ombudsman to help ensure high levels of care.  Facilities listed here also have high professionalism standards and are proud to share our state survey grades and complaints if there are any.  Click any facility’s listing to see links to their state surveys and POC’s.


Continuity of Care/Relationship with Caregivers

As a residential, family-like setting, the 4 to 6 caregivers who provide the care remain with the home for a long time. In larger institutions, Caregivers work on shifts, they may be moved about the facility, and the opportunity to develop relationships is less. Especially for our Memory Care Homes, developing a relationship with Caregivers is an extremely important facet of quality care of our residents. Indeed, most doctors note that “behavioral” treatment is the mainstay of therapy for those with Dementia and is the preferred therapy to Medications. That behavioral therapy is the staff including their training, continuity with the patients and the facility.


 Home, not an institution

Residential Care Homes look and feel like a home. They are located in neighborhoods, have living rooms, backyards, like any home. The transition for our residents is smoother than the feeling of being institutionalized or “being put somewhere” by their family as it would be in a more institutional setting like a nursing home.


Managing Medications

A key service and component of care is to provide the medications on time and at the correct dose to the residents. This alone, often improves their overall well-being when they move from a situation where some of their medications were forgotten as they were trying to manage their own medication regiments. Caregivers are also trained to observe when refills are needed and work with pharmacies directly to ensure that all medications are available at all times.


Managing Primary Care

Helping our residents communicate with their Primary Care Physician or Nurse Practitioner is key to their continued well-being and health. Even without dementia, an elderly person may not recall answers to the questions of their physician, which Residential Care Home Caregivers have ready answers to. (Such as, when was your last bowel movement, or has your calorie consumptions been reduced lately, etc.)


Communication with Family/Power of Attorney

Residential Care Home Owners/Managers, keep in touch with the family, give updates and reports as needed. Many times, family and Power of Attorneys are located out of state. With good communication from the Care Home provider, the distant family can sleep at ease knowing that reports of incidents will be communicated in a timely fashion.



Please visit the profile listed for each Residential Care Home on this website, but many homes offer amenities such as private rooms, game rooms, walking paths, TVs in each room, parks nearby, etc.


Alzheimer’s/Memory Care 

Those homes endorsed for this service will provide protective supervision. This includes locked doors, door chimes, and a vigilant and trained Caregiver staff, including an awake caregiver at night. Dangerous items, such as knives and chemicals are locked up for the safety of the residents. Helping those with minor memory loss to advanced Alzheimer’s disease takes patience and understanding, which the professional Residential Care Homes listed on this site provide.