Board-and-care & room-and-board homes

What these homes are

Board-and-care homes and room-and-board homes are small residential homes where adults live together and get help with everyday needs. People often choose them for a quieter, more family-style setting than a large facility.

These homes are sometimes called adult family homes or adult foster care homes, depending on the state. Rules, names, and licensing standards vary widely by state, so it is important to confirm the current state license or certification for any home you are considering.

HearthRow is not a care home or medical provider. We are a free matching and information service that helps families find licensed adult family homes near them.

What room-and-board usually covers

Room-and-board usually means the basic place to live and eat. It often includes:
- A bedroom or shared room
- Meals and snacks
- Housekeeping and laundry
- Help with meals, reminders, and daily routines, if the home offers it

What is included can vary a lot from one home to another. Some homes include more personal care help, while others provide only basic support. Always ask the home to explain exactly what is included before you decide.

What it does not usually cover

Room-and-board usually does not cover the full cost of medical care, nursing care, or specialized services. It also may not include every type of personal care or support.

If an older adult needs extra help, the home may offer some services directly, or the family may need to arrange outside support. Confirm details with the home, the person’s doctor, and the state licensing agency so you know what the home is allowed to provide.

How much it costs

Costs vary by state, city, home size, and level of support. In many places, room-and-board is paid privately, and personal-care support may be covered in part by Medicaid waivers or other programs, depending on state rules.

Typical costs are only estimates, not quotes. The best way to understand price is to ask each home what is included, what costs extra, and how billing works. You can also review our general cost guide for a simple overview.

How HearthRow helps

We help families find licensed adult family homes near them. You tell us what you are looking for, and we connect you with homes that may fit your needs.

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.

If you want to explore next steps, you can start with getting matched or read more about the kinds of services these homes may offer.

What to check before choosing a home

Because every home is different, it helps to ask clear questions and visit in person before making a decision. A good tour can tell you more than a phone call.

Before you choose, be sure to:
- Confirm the home’s current state license or certification yourself
- Ask what services are included and what costs extra
- Tour the home and notice how it feels
- Ask how the home handles meals, medication support, and emergencies
- Check with the doctor and the state licensing agency if you have questions about fit or safety