Get matched, free, with licensed adult family homes near you

A simple way to start

When home is no longer the right fit, many families want something smaller and more personal than a large facility. Adult family homes, adult foster care homes, and board-and-care homes can offer that kind of setting.

HearthRow is a free matching and information service. We are not a care home, care provider, medical professional, or government agency. We help you find and connect with licensed or certified homes near you so you can ask questions, visit, and decide what feels right.

What you tell us

To get started, we only need basic contact and search details. For example, you can tell us:

• who needs care
• the city or ZIP code
• when you hope to move
• your preferred language
• a simple budget range
• the kind of daily help you think may be needed

Please do not send medical records, financial account numbers, Social Security numbers, or other sensitive documents. We do not need that to help you begin.

If you want, you can also read more about how it works before you reach out.

What happens next

After you contact us, we try to connect you with licensed or certified adult family homes in the area you choose. We may also share general information to help you compare options.

Then you take the next steps at your own pace. You can call the home, ask questions, schedule a tour, and decide whether to move forward. You are never under any obligation.

We cannot promise placement, availability, price, or any outcome. Open rooms, services, house rules, and care limits change often and vary widely by state.

What these homes are like

These homes are usually small residential settings, often in regular neighborhoods. They may serve a small number of adults and provide help with daily routines such as meals, bathing, dressing, medication reminders, and supervision, depending on the home's license and the state's rules.

Every home is different. Services, staffing, accessibility, language support, and the level of care allowed can vary a lot. You can learn more about common services and questions to ask when comparing homes.

Because rules vary by state, always confirm a home's current state license or certification yourself and ask the home what care they can and cannot provide.

Cost and Medicaid

Cost is one of the first questions most families ask. In many states, room-and-board is usually paid privately. As a typical estimate, monthly costs can vary widely based on location, the home, and the amount of help needed. These are not quotes.

In some states, Medicaid waiver programs may help with certain personal-care services, but often not with room-and-board. Medicaid rules, waitlists, and eligibility vary by state.

HearthRow does not give legal, financial, or Medicaid advice. If you are exploring payment options, see our general guide to costs, and confirm current details with your state's Medicaid office, the home, and any benefits counselor you trust. Medicaid information is separate from getting matched with homes.

How to choose a home with confidence

This is a big decision. It is okay to slow down and ask the same question twice.

Before choosing any home, we strongly encourage you to:

• confirm the home's current state license or certification yourself
• tour the home in person if you can
• ask about staffing, meals, language, activities, and house rules
• ask what level of care the home is allowed to provide
• ask about total monthly charges and any extra fees
• speak with your doctor about care needs that may affect the choice

A warm tour matters. So do clear answers. The goal is a safe place where your loved one is treated with dignity and where your family understands what to expect.

How HearthRow is paid

Our service is free to families. Some homes pay HearthRow a flat fee when we connect them with a family. It never changes what you pay, and you are never under any obligation.

That payment does not mean a home is right for your loved one. Families should still compare options carefully, confirm the home's current license or certification, and tour before making any decision.