Adult Care Homes

Adult Care HomesAdult Care Homes (ACH) (also known as Adult Foster Care, or Adult Family Homes) are located in residential areas throughout many metro cities in the United States.  You may not even recognize an Adult Care Home in your neighborhood, unless there is signage for advertising. On average, there are no more than five residents at a time living in an Adult Care Home.  Adult Care Homes may be licensed for different levels of care.  Some highly skilled Adult Care Homes specialize in bariatric care, ventilator care, recovery from cosmetic surgery, and psychiatric care.  Adult Care Homes are often an excellent alternative to nursing homes, but are not common in some areas and can be difficult to find.  Check with your local Area Agency on Aging or a Placement and Referral Specialist for assistance in locating an Adult Care Home.

Most Adult Care Homes provide the following in a base rate:


  • Room and Board, Meals, Laundry, and Specified Basic Services
  • Adult Care Home prices can range anywhere from $2500-$6000 per month.

In addition to the base rate, care costs may be added based on specific needs. Examples of these additional costs can include but are not limited to:

  • Toileting Assistance
  • Grooming/ Hygiene Assistance
  • Transfer/ Mobility Assistance
  • Behavior Monitoring/ Cognitive Assistance
  • Hospice Care
  • Eating Assistance
  • Dressing Assistance

Who pays for Adult Care Homes?

  • Medicare does not pay for Adult Care Homes.
  • Medicaid may pay for Adult Care Homes, if the home carries a Medicaid contract. This does not guarantee that a home will accept Medicaid clients.
  • Most Long Term Care Insurance policies will pay for Adult Care Homes, as long as the policy-holder meets certain requirements for care and the Adult Care Home meets guidelines established by the policy.
  • Private Pay

Key Benefits of Adult Care Homes:

  • Intimate, family-oriented setting
  • Home cooked meals
  • High levels of care available
  • Low turnover, high staffing to resident ratios