Board and care homes offer personal care for a few residents in a regular house, a popular alternative to large facilities. Here is what they cost and how to find a good one near you.
What is a board and care home?
A board and care home is a licensed residence, typically a single-family house, where a small group of seniors (usually 2 to 6) live together and receive meals, help with daily activities, medication reminders, and 24-hour supervision. "Board and care" is the common term in California and the Southwest; the same model is called an adult family home, personal care home, or residential care facility elsewhere. The small size means a low caregiver-to-resident ratio and more personal attention than a large assisted living community, which is why many families choose them for loved ones with dementia or complex daily needs.
What do board and care homes near me cost?
Board and care homes nationally run about $4,500 to $5,500 a month for a shared room, with private rooms and higher care needs costing more (Genworth, 2024). Your local price depends on the city, room type, and level of daily help. Most homes charge one bundled monthly rate for room, meals, and personal care, though memory care or two-person transfers may add fees. We never quote a fixed carrier price by phone, but an advisor can give you a realistic local range. Call 1-800-MEDIGAP (1-800-633-4427).
How do I find a good board and care home nearby?
Confirm the home is licensed and in good standing, and review its state inspection reports. Visit in person, ideally unannounced, and watch how staff interact with residents. Ask about the caregiver ratio, training, medication handling, meals, and what happens if care needs increase. Get the fee schedule and move-out policy in writing. To skip the cold-calling and get matched to vetted homes near you at no cost, call 1-800-MEDIGAP.