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Residential Care Facilities for the Elderly (RCFEs) — sometimes called “Assisted Living” (16+ beds) or “Board and Care” (4 to 6 beds) — are non–medical facilities that provide room, meals, housekeeping, supervision, storage and distribution of medication, and personal care assistance with basic activities like hygiene, dressing, eating, bathing and transferring. Residential Care Facilities for the Elderly (RCFEs) serve persons 60 years of age and older.


This level of care and supervision is for people who are unable to live by themselves but who do not need 24 hour nursing care. They are considered non-medical facilities and are not required to have nurses, certified nursing assistants or doctors on staff.


Some facilities offer special services to persons with dementia if they meet certain licensing requirements. Make sure that the facility has experience in providing dementia care and meets all of the state licensing standards to provide dementia care.


Residential Care Facilities For The Elderly (RCFE) are required to be licensed in most states, and First Step Senior Care refers only to licensed providers. In California, for example, board and care homes are licensed by the Community Care Licensing Division California Department of Social Services. The cost depends on a variety of factors such as the type of accommodations (apartment, private room, shared room), the range of services needed, and the geographic area.


The median monthly cost in California is $3,750, with costs ranging from a low of around $1,000 a month for a resident on Supplemental Security Income (SSI) to a high of $9,000 a month. Specialized services like dementia or hospice care are more costly.

Residential Care facilities for the elderly (RCFE)