Adult Family Care Home vs Assisted Living Facility: Complete Comparison

Understanding the key differences between Adult Family Care Homes and Assisted Living Facilities in Florida to help you make the best care decision for your loved one.

Quick Comparison Overview

FeatureAdult Family Care HomeAssisted Living Facility
Maximum ResidentsUp to 5 residents16 or more residents
SettingResidential homeInstitutional facility
Provider LocationProvider must live on-siteStaff may not live on-site
EnvironmentFamily-like, intimateLarger, more structured
CostGenerally more affordableTypically higher cost
Care RatioHigh staff-to-resident ratioLower staff-to-resident ratio
Regulatory AgencyFlorida AHCAFlorida AHCA
Best ForThose seeking personalized, family-like careThose needing more amenities and activities

Detailed Comparison

Adult Family Care Home

Maximum Capacity: Up to 5 residents

Adult Family Care Homes are limited to a maximum of 5 residents, creating an intimate, family-like environment. This small group setting allows for highly personalized attention and care.

Assisted Living Facility

Maximum Capacity: 16 or more residents

Assisted Living Facilities typically house 16 or more residents, with some facilities accommodating 100+ residents. This larger setting provides more amenities but less individual attention.

Environment and Setting

Adult Family Care Home

  • Residential home setting that feels like a family home
  • Intimate, family-like atmosphere
  • Less institutional feeling
  • Provider lives in the home, creating a true residential experience

Assisted Living Facility

  • Purpose-built facility or converted building
  • More structured, institutional environment
  • More amenities and common areas
  • Staff typically do not live on-site

Cost Comparison

Adult Family Care Home

Generally More Affordable

  • Lower overhead costs due to smaller size
  • Often more cost-effective for families
  • Fewer amenities may result in lower monthly costs
  • All-inclusive pricing typically available

Assisted Living Facility

Typically Higher Cost

  • Higher overhead for larger facilities
  • More amenities and services increase costs
  • Base rate plus additional fees for services
  • Wide price range depending on location and amenities

Care and Services

Adult Family Care Home Services

  • Personal care assistance with daily living activities
  • Medication management
  • Meal preparation and nutrition support
  • Housekeeping and laundry
  • 24/7 on-site provider availability
  • High staff-to-resident ratio for personalized care

Assisted Living Facility Services

  • Personal care assistance
  • Medication management
  • Dining services and meal programs
  • Housekeeping and maintenance
  • More extensive activity programs and amenities
  • Lower staff-to-resident ratio

Regulation and Licensing

Both Adult Family Care Homes and Assisted Living Facilities in Florida are licensed and regulated by the Florida Agency for Health Care Administration (AHCA). However, they operate under different regulations:

Adult Family Care Home

  • • Chapter 408, Part II, Florida Statutes
  • • Chapter 59A-35, Florida Administrative Code
  • • Chapter 429, Part II, Florida Statutes
  • • Chapter 59A-37, Florida Administrative Code

Assisted Living Facility

  • • Chapter 408, Part II, Florida Statutes
  • • Chapter 58A-5, Florida Administrative Code
  • • Chapter 429, Part I, Florida Statutes

Which Option is Right For You?

Choose Adult Family Care Home If:

  • You prefer a small, intimate, family-like environment
  • You want highly personalized attention and care
  • Cost is an important consideration
  • You value having the provider live on-site
  • You want a residential home setting rather than an institutional facility
  • You prefer a high staff-to-resident ratio

Choose Assisted Living Facility If:

  • You want more extensive amenities and activities
  • You prefer a larger community with more social opportunities
  • You need specialized programs (memory care, etc.)
  • You want on-site medical services or therapy
  • You prefer a more structured, institutional environment
  • Budget allows for higher monthly costs

Frequently Asked Questions

What is the main difference between an Adult Family Care Home and an Assisted Living Facility?

The primary difference is size: Adult Family Care Homes serve up to 5 residents in a residential home setting with the provider living on-site, while Assisted Living Facilities serve 16 or more residents in a larger, more institutional setting. Adult Family Care Homes offer a more intimate, family-like environment with higher staff-to-resident ratios.

Are Adult Family Care Homes less expensive than Assisted Living Facilities?

Generally, yes. Adult Family Care Homes typically have lower overhead costs due to their smaller size, which often results in more affordable monthly rates. However, costs can vary based on location, services provided, and individual facility amenities.

Do both types of facilities provide the same level of care?

Both provide personal care services, medication management, meal preparation, and assistance with daily living activities. However, Adult Family Care Homes often provide more personalized attention due to their smaller size and higher staff-to-resident ratio. Assisted Living Facilities may offer more extensive amenities and specialized programs.

Are both licensed and regulated the same way?

Both are licensed by the Florida Agency for Health Care Administration (AHCA), but they operate under different regulations. Adult Family Care Homes are regulated under Chapter 59A-35 and 59A-37 of the Florida Administrative Code, while Assisted Living Facilities are regulated under Chapter 58A-5.

Can I visit both types of facilities before making a decision?

Yes, and it's highly recommended. Visiting both types of facilities will help you understand the differences in environment, atmosphere, and care approach. This hands-on experience is invaluable when making such an important decision for yourself or a loved one.

Learn More About Our Adult Family Care Home

Visit our 3530 Datura Street property to see an Adult Family Care Home in action, or learn more about what makes this care option unique.

Additional Resources

Florida AHCA - Adult Family Care Home Information

Official information from the Florida Agency for Health Care Administration about Adult Family Care Homes.

Visit AHCA Website

Florida AHCA - Assisted Living Facility Information

Official information about Assisted Living Facilities in Florida.

Visit AHCA Website

Facility/Provider Locator

Search for licensed Adult Family Care Homes and Assisted Living Facilities in Florida.

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