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Domiciliary Care |
Homelike, supportive living environments for up to 3 adults incapable of living alone in the community. Provides food, shelter and assistance or supervision with activities of daily living for a period exceeding 24 hours. Provider resides in facility. |
18 years or older, mobile or semi-mobile and do not require skilled or intermediate nursing care on a 24 hour basis. |
Department of Aging |
State |
Private |
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Home Health |
Provides nursing and at least one therapeutic service. May provide other health-related services to maintain persons in their own home. |
Disabled, aged, injured, sick in their place of residence. |
Department of Health |
Federal, State |
Private Medicare Medicaid |
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Nursing Homes |
Provide skilled or intermediate care or both levels of care to at a minimum, 2 or more residents not related to licensee (largest is over 900 residents). Length of stay over 24 hours. Free standing or hospital-based. May be licensed only or participate in Medicare and/or Medicaid. |
18 years or older who require skilled or intermediate care or both levels of care. |
Department of Health |
Federal, State |
Private Medicare Medicaid |
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Personal Care Homes |
Any premise in which food, shelter and personal assistance or supervision are provided for a period exceeding twenty-four hours for four or more adults who are not relatives of the operator, who do not require the services in or of a licensed long-term care facility but who do require the assistance or supervision in such matters as dressing, bathing, diet, financial management, evacuation of a residence in the event of an emergency or medication prescribed for self administration.Article X of the Public Welfare Code |
18 years of age or older who do not require services in or of a licensed long-term care facility. |
Department of Public Welfare |
State |
Private eligible SSI residents may apply for state supplement funds. All PCHs have provisions to obtain Home Health for MA and Medicare service delivery in home. |
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Older Adult Daily Living Center |
Private, non-profit and profit licensed settings with 4 or more adults. Provide food, shelter and personal assistance/supervision for part of a 24-hour day. Clients predominantly 60 years of age but who have a dementia-related disease as a primary diagnosis. Clients must have a functional impairment and be in need of services, as determined by an intake process. Clients receive the following services: personal care, nursing, social services, therapeutic activities, nutrition and emergency care. |
Predominantly 60 years of age or older. |
Department of Aging |
State |
Private |
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Community Residential Rehabilitation Services (CRRS) for Adults |
Transitional residential programs in community settings for persons with chronic psychiatric disability. CRRS’s provide housing, personal assistance and psychosocial rehabilitation to clients in nonmedical settings. There are two levels of care, full or partial, which are distinguished by the level of functioning of the clients served and the intensity of rehabilitation and training services provided by CRRS staff to the clients. In both levels of care, the provider acts as landlord to the client. …every site used by a CRRS to house clients is owned, held, leased or controlled by the provider or a provider-affiliate.
PA Code, Title 55, Chapter 5310 |
18 years of age or older with psychiatric disability |
Department of Public Welfare |
State |
County MH/MR Funds via State allocation |
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Community Homes for Individuals with Mental Retardation |
Community home for people with mental retardation¾ A building or separate dwelling unit in which residential care is provided to one or more individuals with mental retardation. Each apartment unit within an apartment building is considered a separate home. Each part of a duplex, if there is physical separation between the living areas, is considered a separate home. A community home is not:
- A private home of persons providing care to a relative with mental retardation;
- An intermediate care facility for the mentally retarded licensed by the Department of Public Welfare as an ICF/MR [ intermediate care facility for the mentally retarded];
- A licensed foster family care home servicing only foster care children;
- Summer camps;
- Facilities serving exclusively personal care home, drug and alcohol, mental health or domiciliary care residents.
- Residential homes for three or fewer people with mental retardation who are 18 years of age or older and who need a yearly average of 30 hours or less direct staff contact per week per home.
PA Code, Title 55 Chapter 6400
Large Community Home¾ A community home serving 9 or more individuals.
PA Code, Title 55 Chapter 6400 |
18 years of age or older with mental retardation |
Department of Public Welfare |
State |
Private
State
Medicaid |
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Family Living Homes |
Family Living Home-¾ The private home of an individual or a family in which residential care is provided to one or two individuals with mental retardation. A Family Living Home is not:
- A private home of persons providing care to a relative with mental retardation;
- A licensed community home for individuals with mental retardation;
- A licensed foster family care home;
- Homes serving exclusively personal care home, drug and alcohol, mental health or domiciliary care residents;
- Homes providing room and board for one or two people with mental retardation who are 18 years of age or older and who need a yearly average of 30 hours or less direct training and assistance per week per home, from the agency, the county mental retardation program or the family;
- A home providing 90 or fewer calendar days of respite care per calendar year.
PA Code, Title 55 Chapter 6500 |
18 years of age or older with mental retardation |
Department of Public Welfare |
State |
Private
State
Medicaid |
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Intermediate Care Facilities for Individuals with Mental Retardation |
A State operated or non state operated facility, licensed by the Department [ of Public Welfare] in accordance with Chapter 6600 (relating to intermediate care facilities for the mentally retarded) to provide a level of care specially designed to meet the needs of persons who are mentally retarded, or persons with related conditions, who require specialized health and rehabilitative services; that is, active treatment. PA Code, Title 55 Chapter 6210 |
18 years of age or older with mental retardation |
Department of Public Welfare |
State licensure Federal certification |
Private
State
Medicaid |
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State Mental Hospitals |
A state owned and operated hospital that provides inpatient psychiatric evaluation and treatment under the provisions of the Mental Health Procedures Act. |
18 years of age and older who have received acute psychiatric care in their community, and have been committed under the provisions of the Mental Health Procedures Act for longer term psychiatric treatment and/or evaluation. |
Department of Public Welfare |
Federal, State ¾ adhere to Medicare Standards and Joint Commission Accreditation Standards as required by the Mental Health procedures Act |
Private
Medicare Medicaid
State funds |
