LaterStages
Living & care after 55

Senior care terms, explained

The same kind of care goes by different names on websites, in state licenses and in Medicare files. Here is what each term means and who regulates it.

38 terms

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55 and over communities

Another name for 55+ communities.

A

active adult

Age-qualified housing focused on lifestyle, without meals or care.

Read the active adult rentals guide

Adult Day Health Care (ADHC)

Licensed adult day health centers; the California Department of Aging certifies them as CBAS providers.

Regulated by CDPH. Read the adult day programs guide

Adult Day Program (ADP)

Non-medical day program for adults 18 and older.

Regulated by CDSS Community Care Licensing. Read the adult day programs guide

Adult Residential Facility (ARF)

24-hour non-medical care for adults 18 to 59; people 60 and older only under specified requirements.

Regulated by CDSS Community Care Licensing.

ALF

Assisted living facility.

Find assisted living in California

alzheimer's care

Another name for Memory care.

Assisted Living Facility, Type A / Type B Texas

Type A residents must be able to evacuate on their own; Type B residents may need staff help to evacuate and care at night.

Regulated by Texas HHSC. Find assisted living in California

B

board and care

Common California name for small RCFEs in houses, usually four to six residents.

Find assisted living in California

C

Community-Based Adult Services (CBAS)

Medi-Cal adult day health benefit that replaced Adult Day Health Care in 2012; mostly delivered through Medi-Cal managed care plans.

Regulated by DHCS, CDPH and CDA. Read the adult day programs guide

companion care

Another name for Home care.

Continuing Care Retirement Community (CCRC)

Licensed by CDSS in California.

Regulated by CDSS. Find continuing care retirement communities in California

convalescent home

Another name for Nursing homes.

D

Day Activity and Health Services (DAHS) Texas

Licensed Texas adult day facilities providing up to 10 hours a day of weekday care.

Regulated by Texas HHSC. Read the adult day programs guide

dementia care

Another name for Memory care.

E

end of life care

Another name for Hospice and palliative.

H

Home and Community Support Services Agency (HCSSA) Texas

One Texas license for home care agencies, issued in categories: licensed and certified home health, licensed home health, hospice, and personal assistance services (non-medical).

Regulated by Texas HHSC.

Home Care Organization (HCO)

California license for non-medical home care agencies, required since 2016 under the Home Care Services Consumer Protection Act; caregivers are listed on a public Home Care Aide registry.

Regulated by CDSS Home Care Services Branch. Find home care in California

Home Health Agency

Another name for Home health.

Regulated by CDPH.

I

IL

Independent living.

Read the independent living guide

in home care

Another name for Home care.

L

life plan community

Newer industry name for a CCRC.

Find continuing care retirement communities in California

low income senior housing

Another name for Senior apartments.

M

Medi-Cal Assisted Living Waiver (ALW)

Medi-Cal waiver that pays for care services (not room and board) in assisted living for people who would otherwise qualify for a nursing home; limited to 15 counties.

Regulated by DHCS. Find assisted living in California

Medicare hospice benefit

Another name for Hospice and palliative.

Regulated by CMS.

N

Nursing Facility Texas

Another name for Nursing homes.

Regulated by Texas HHSC.

R

RCFE-CCRC

License type for the assisted living part of a continuing care retirement community.

Regulated by CDSS Community Care Licensing. Find continuing care retirement communities in California

rehab facility

Another name for Nursing homes.

Residential Care Facility for the Elderly (RCFE)

California license for 24-hour non-medical care and supervision for people 60 and older; often called assisted living or board and care.

Regulated by CDSS Community Care Licensing. Find assisted living in California

respite care

Short-term care that gives a family caregiver a break.

retirement communities

Another name for Independent living.

retirement homes

Another name for Independent living.

S

senior day care

Another name for Adult day.

Skilled Nursing Facility

Another name for Nursing homes.

Regulated by CDPH.

SNF

Skilled nursing facility.

Find nursing homes in California

STAR+PLUS Texas

Texas Medicaid managed care for adults 65 and older or with disabilities; its HCBS program can cover assisted living services.

Regulated by Texas HHSC.

V

VA Aid and Attendance

Pension add-on for veterans and survivors who need help with daily activities.

Regulated by US Department of Veterans Affairs.

visiting nurse

Another name for Home health.