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What Is a Board and Care Home?

A plain-English guide to board and care homes. One free call helps you compare options, costs, and care levels with no pressure.

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Quick answer

A board and care home is a small licensed residence, usually 2 to 6 seniors in a house, that provides meals, help with daily activities, medication assistance, and 24-hour supervision. The U.S. median is about $4,500 to $5,500 a month (Genworth, 2024). Call 1-800-MEDIGAP to learn more.

A board and care home is a small-home senior care option that surprises many families with how personal and affordable it can be. Here is exactly what it is, what it offers, and who it fits.

What is a board and care home, exactly?

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 like bathing and dressing, medication assistance, and 24-hour supervision. It is regulated and inspected by the state. The same model goes by different names: adult family home, personal care home, and residential care facility all describe the same thing. Board and care homes serve seniors who need daily help but not round-the-clock skilled nursing, offering a homelike alternative to large assisted living communities.

What services does a board and care home provide?

Board and care homes provide room and board plus personal care: help with bathing, dressing, grooming, toileting, mobility, and transfers; medication reminders or assistance; three meals a day plus snacks; housekeeping and laundry; and 24-hour supervision. Because the homes are small, staff often know each resident's routine and preferences well. Many homes also coordinate with visiting doctors, hospice, and home-health nurses. What they do not provide is ongoing skilled medical care, which requires a nursing home. To find a home offering the specific services your loved one needs, call 1-800-MEDIGAP (1-800-633-4427).

Who is a board and care home best for?

Board and care homes suit seniors who need hands-on daily help in a quiet, intimate setting, including many people living with dementia who do better with close supervision and fewer distractions. They are also a good fit for those who feel overwhelmed in large buildings or who want a low caregiver-to-resident ratio. Seniors who are highly active and social may prefer the amenities and activities of a larger assisted living community. An advisor can help you weigh the fit at no cost. Call 1-800-MEDIGAP.

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Frequently asked questions

What is a board and care home?+

A board and care home is a small licensed residence, usually 2 to 6 seniors in a house, that provides meals, help with daily activities, medication assistance, and 24-hour supervision. It is the same model called an adult family home or personal care home in other states.

What services does a board and care home offer?+

Board and care homes offer room and board, help with bathing, dressing, mobility and toileting, medication assistance, three daily meals, housekeeping, laundry, and 24-hour supervision. They do not provide ongoing skilled nursing, which requires a nursing home.

Is a board and care home the same as assisted living?+

No. A board and care home is a small house with 2 to 6 residents and close personal care, while assisted living is a larger community with more amenities and a higher resident-to-staff ratio. Both help with daily activities but differ in size and atmosphere.

How much does a board and care home cost?+

Most board and care homes cost about $4,500 to $5,500 a month for a shared room, with private rooms and higher care needs costing more (Genworth, 2024). Rates vary by location and care level. Call 1-800-MEDIGAP for a realistic local range.

Who should consider a board and care home?+

Board and care homes suit seniors who need hands-on daily help in a quiet, intimate setting, including many people with dementia. Those who are highly active and social may prefer a larger assisted living community. Call 1-800-MEDIGAP for free guidance on the fit.

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