Often referred to as "Nursing Homes", "Board and Care Homes" or "Retirement Homes", RCFE's are housing arrangement for persons, typically 60 years of age and over, where 24-hour non-medical care and supervision is provided.

Provide 24-hour a day, non-medical care and supervision typically for clients ages 18-59 or any person 60 years of age or older under specified requirements. These clients may have a mental, physical or developmental disability. Facilities are usually designated one of the following service levels:

Level 1- Limited care and supervision for persons with self-care skills and no behavior problems.

Level 2 - Care, supervision, and incidental training for persons with some self-care skills and no major behavior problems.

Level 3 - Care, supervision, and ongoing training for persons with significant deficits in self-help skills, and/or some limitations in physical coordination and mobility, and/or disruptive or self-injurious behavior.

Level 4 - Care, supervision, and professionally supervised training for persons with deficits in self-help skills, and/or severe impairment in physical coordination and mobility, and/or severely disruptive or self-injurious behavior. Service Level 4 is subdivided into Levels 4A through 4I, in which staffing levels are increased to correspond to the escalating severity of disability levels.

Offer a long-term continuing care contract that provides for housing, residential services, and nursing care, usually in one location, and usually for a resident’s lifetime.

Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) are health facilities licensed by the Licensing and Certification Division of the California Department of Public Health to provide 24-hour-per-day residential services. 

Any community-based facility or program that provides non-medical care and supervision to persons 18 years of age or older in need of personal services, supervision, or assistance essential for sustaining the activities of daily living or for the protection of these individuals, in a day care setting, on less than a 24-hour basis.

A SNF means a health facility or a distinct part of a hospital which provides continuous skilled nursing care and supportive care to patients whose primary need is for availability of skilled nursing care on an extended basis. This 24-hour inpatient care includes, as a minimum, physician, skilled nursing, dietary, pharmaceutical services, and an activity program.

Congregate Living Health Facilities are residential homes with a capacity of usually no more than six beds, which provides inpatient care, including medical supervision, 24-hour skilled nursing and supportive care, pharmacy, dietary and social recreational services. The primary need of CLHF residents shall be for availability of skilled nursing care on a recurring, intermittent, extended, or continuous basis. The care is generally less intense than that provided in general acute care hospitals but more intense than that provided in skilled nursing facilities. These facilities have sublicensing known as "A", "B" and "C" types and allow the facility to take in different types of patients. 

A Type A facility may care for residents who are physically and mentally capable of evacuating the facility unassisted, do not require routine attendance during sleeping hours, and are capable of following directions in an emergency. A Type B facility may care for residents who may require staff assistance to evacuate, are incapable of following directions under emergency conditions, require staff attendance during nighttime sleeping hours, and require assistance transferring to and from a wheelchair. A Type C facility is a four-bed facility that meets minimum standards for enrollment with DADS as an adult foster care facility.

The Nursing Facility program provides institutional care to individuals whose medical condition regularly requires the skills of licensed nurses. Nursing facility services are available to individuals who are Medicaid recipients or who wish to private pay for their care. The nursing facility must provide for the needs of each client, including room and board, social services, over-the-counter medications, medical supplies and equipment, and personal needs items. A skilled nursing facility is a special facility or part of a hospital that provides medically necessary professional services from nurses, physical and occupational therapists, speech pathologists and audiologists. Skilled nursing facilities provide round-the-clock assistance with healthcare and activities of daily living. Skilled nursing facilities are used for short-term rehabilitative stays after an individual is released from a hospital. A Hospital-based SNF is located in a hospital and provides skilled nursing care and rehabilitation services for people who have been discharged from that hospital but who are unable to return home right away. They do not accept general admissions.