A Senior Residential Care Facility is a community of up to 15 residents; some RCFs are composed of a few houses, with 12-15 residents in each (referred to as communities or neighborhoods).  Senior Residential Care Facilities offer private or semi-private rooms and shared bathrooms, cleaning services, and laundry.  Senior Residential Care Facilities offer an RN on site and 24/7 caregivers who provide personal care (ADL), medication administration, daily meals, and social activities.

Senior Residential Care Facilities typically provide the following:

• Smaller facility with 12-15 residents (may have a few houses each with 12-15 residents)
• 24/7 caregivers through three shifts, including nighttime. Most facilities have one to two caregivers during day shifts and one caregiver at night
• Medication administration
• Private and semi private rooms, shared bathrooms
• Three meals per day
• Housekeeping provided
• Social activities offered
• Nurse on site during the day and on call 24/7
• Price is based on type of room and level of care
• Some take only private pay and some take private pay and Medicaid. However, since they take only a limited number of Medicaid residents, in a good facility, there is always a waiting list.
• Caregiver/residents ratio 1:8-15
• Most RCFs have at least one house that is designated for people with advanced dementia/Alzheimer’s (see Memory Care)

Senior Residential Care Facilities are appropriate for a person who:

• Has declined in physical and/or cognitive status
• Needs help with dressing, bathing, toileting, and medication administration
• Has mild dementia without behavior problems
• Uses a walker or a wheelchair, including power chair or hoyer lift
• Needs night-time care
• Enjoys social activities

Senior Residential Care Facilities are not appropriate for a person with:

• Dementia and behavior problems
• Poor safety awareness or a history of falls
• Risk of wandering