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Care Homes
- Nursing Homes
- Nursing homes are institutional facilities akin to hospitals but with the focus on providing long-term - not acute -- care for the elderly and disabled. Hawai'i has nearly 50 nursing homes, and they typically have dozens of beds. The residents require skilled nursing care and have medically complex needs that can't be met at a regular care home.
Most of the Hawai'i nursing homes are federally certified,
meaning they can take Medicare and Medicaid patients and are subject to federal regulations.
- Adult Residential Care Homes
- Adult residential care homes, also known as ARCHes, provide basic care for the elderly and disabled.
They cannot provide nursing-home level care - unless they are classified as expanded care homes.
Those with the expanded designation can provide nursing-home level services to a limited number of residents.
Either type of care home can hold less than six residents or six or more. Some have dozens of beds.
Hawai'i has about 500 care homes.
- Adult Foster Care Homes
- Adult foster homes - technically known as community care foster family homes - have two or three residents who need nursing-home level care.
These residences are non-institutional alternatives to nursing homes and provide a more family-like setting for their clients. Hawai'i has nearly 1,000 foster homes.