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 assistanceServices 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?

Service or Amenity Facility 1. Included? Yes or No

Facility 2. Included? Yes or No

Facility 3. Included? Yes or No

24-hour supervision

Meals and snacks

Personal care services

Health care services

Medication management

Social services

Supervise person with cognitive disabilities

Dementia care

Social and religious activities

Transportation (typically doctor’s appointments, etc)

Laundry service

Housekeeping

Incontinent care

WiFi

Cable

Telephone

Costs of Senior Living HomesWhen it comes to assessing cost, remember that pricing and what’s covered can vary from place-to-place. Some use the all-inclusive model, which is generally a flat fee. What’s included may vary between residences. Others have fees that change according to needs. In a tiered-fee model, the monthly fee generally covers room and board. While the initial monthly fee may seem comparatively low, as you or your loved one need more care the fee may increase substantially—even above another facility’s flat fee.

When touring a residence, be sure to ask questions. Look closely at the specifics to make the most informed decision possible. On the right is a handy checklist to track and compare covered costs. If you’d like to learn about Autumn’s Promise Assisted Living, please call us at 465-1181 to set up your free tour. We hope this overview helps you evaluate the senior living options available to you.

Data from—Pricing models: payingforseniorcare.com, eldercareteam.com, ahcancal.orgRegulations and types of facilities: dhs.wisconsin.gov, ewala.org920-465-1181 | 1700 Spartan Road • Green Bay | autumnspromise.com