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This would depend on where you live. Board and care can mean just a room and meals or it can mean actual assistance with a nurse on call and CNAs available at all times.

Generally, board and care facilities are smaller than assisted living but that isn't necessarily true either. Sometimes it simply a matter of location. One community or even state may use the term board and care while another may use assisted living. I'd look into each facility carefully to see what is offered in a basic contract and what type of care will cost extra.

Labels matter less than quality.

Another thought - in some instances (not many) Medicaid will cover all or part of assisted living. If you are looking into this, be certain about what the labels mean in your state.

Take care,
Carol
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May I ask where you live? Never heard the term board and care.
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Some states call then residential care as they are smaller living situations within a large home (a private residence) which house 3 - 6 or 3 - 8 individuals who usually share a room and the central living space. They like AL have to be licensed.. But unlike the larger AL usually do not have an activities director, or transportation or some type of nursing or social work staff unless the onsite owner happens to be one. I looked into one for my mom but decided on IL instead as the IL had activites director, regular scheduled health checks, included transportation both for shopping and medical appointments, and a full kitchen staff and more meal choices. Costs abt the same. Also since R&B is small, if there is a clique at the R&B there no other ladies to socialize with.
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In Michigan Adult Foster Homes for Aged is the term used for small home like residents usually 6-10 residents. Assisted living is a marketing term and can mean different things in each facility.
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Gee, I have been care giving elderly for 15 years and I never knew it was a marketing term. In Texas it means what it says....ASSISTED living. It is a facility where residents have their own room or share with someone but need assistance bathing, getting dressed, and with medications....3 meals a day but they are on their own. They have a social director and can play all sorts of games and have outings. IF they have dementia it is only at the beginning stages and they will not or can not take anyone that can not take care of themselves or are disoriented. They have to go to an Alz/dementia facility for more comprehensive care. Board and Care is also used for a home setting but it is for people that need assistance as well and they can have alz/dementia depending on what kind of home the family chooses and according to their needs. But they usually have their own room with 3 meals a day. We use to have a home down the street from us at our old house and you would never know it was that kind of home until you saw a van pull up to take someone to the hospital or drs. It might totally different in other parts of the country.
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Board and Care will not normally take in people with dementia.
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They will here but you have to look for them specifically.
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In California - that's one of the differences between the two facility types. That's what Carol was indicating when she noted that different states may have different criteria and this Poster is in CA. It's very difficult to find facilities that will take folks with dementia because they need added supervision. Yes - when calling around, facilities will ask for a list of 'conditions' the patient has.
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The National Care Planning Council states that assisted living is marketing term used to refer to a generalized care model more than the specific services offered. So that means a nursing home can be called assisted living, senior apartments that offer assistance with daily living or ADLs can be called assisted living. Adult Foster Homes can be called assisted living. This means we need to check with each facility to see how they define assisted living within their community. But pargirl is correct they all offer some form of assistance, just what and how is different and specific to each community.
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