Community Based Residential Facility CBRF Adult Family Home AFH (3-4 bed) Residential Care Complex RCAC Nursing Home Residence Type Serves a variety of needs, and may include dementia and other conditions of aging Serves a variety of needs, and may include dementia and other conditions of aging Independent living. Does NOT serve incompetent, Alzheimer’s, or dementia populations Most require 24-hour care due to physical or mental conditions Number of Residents From 5-257 beds, usually 20+ Up to 4, usually a residential-style home Independent living complex; at least 5 apartments 5 or more RN on staff Not required Not required Not required Yes Hours of nursing care Up to 3 hrs/wk Up to 7 hrs/wk N/A 24 hours General level of care Provides room and board and assistance. Most often admit and provide services to: • People of advanced age • Dementia • Developmental disabilities • Mental health problems • Physical disabilities • Traumatic brain injury • Terminally ill/Hospice Care, treatment or services are above the level of room and board; should not require care above intermediate level of nursing care Provide up to 28 hours of care/week: • Supportive services • Personal assistance • Health services • Emergency assistance Services must be part of tenant’s service agreement Complete care, room and board 24-hour caregivers Yes Caregivers may live on-site Emergency assistance if needed Yes Minimum Age Requirement 18 years 18 years Adult Adult Deciding where you or a loved one should live when it’s no longer safe at home can be an overwhelming task. Moving into a new place is sure to stir up emotions, so it’s a decision you’ll want to get right the first time. One of the things that can be most confusing is differentiating between the various types of living facilities. What is a CBRF versus a RCAC? What level of care is provided at each? This chart compares the four primary senior resident options. As you weigh the benefits of the places you’ve seen, you’ll be able to choose the best fit. It’s important to note that the ability to age-in-place will vary depending not only on the type of facility, but on each residence’s design and capabilities. In general, a CBRF resident or nursing home resident can stay in their new home for the rest of his or her life, while an RCAC resident may need to move as their personal safety risks increase. Some assisted living facilities are affiliated, located on the same property, so residents move within the campus as additional assistance is required. Other senior living facilities allow residents to remain in the same building and the staff adjusts the care—charges may or may not change. When on your tour, ask specific questions about how the facility handles an increase in the care needs of its residents. CBRF, AFH, RCAC, Nursing Home—What’s the Difference?