What Are My Long-Term Care Housing Options?

Libby Hastings • July 17, 2024

Navigating long-term care housing options can be a bit overwhelming, but understanding your choices can make it much easier to find the right fit for you or your loved one. Here’s a breakdown of some of the most common options available:


Independent Living


Independent living is perfect for those who want to maintain their independence but still enjoy a community setting with various amenities and services. These communities offer a range of housing options like apartments, duplexes, and condominiums. Payment options include private pay and subsidized arrangements through programs like HUD.


Each independent living community offers different services and activities, so it's essential to explore and find one that matches your lifestyle. Be prepared for an application process and possible waitlisting. Note that independent living communities are not regulated or licensed by the state, so do your due diligence when researching.


Homes Plus


Homes Plus are smaller residences or facilities that cater to no more than 12 individuals. This option is ideal for those who need personal care and supervised nursing care to help with daily living activities. While these facilities are not federally regulated, they are licensed by the Kansas Department for Aging and Disability Services.


Assisted Living/Residential Health Care Facilities


Assisted living and residential health care facilities (RHCFs) offer a residential care setting for older adults who want their own living space but may need help with daily activities such as dressing, bathing, eating, and toileting. The main difference between the two is that RHCFs do not offer kitchenettes in individual rooms. Both types of facilities are licensed by the Kansas Department for Aging and Disability Services but are not federally regulated.


Nursing Facilities

For individuals who need 24-hour care and can no longer live independently, nursing facilities provide comprehensive care. These facilities are suitable for those requiring extended post-operative care, complex medical monitoring, and rehabilitative care. Nursing facilities are licensed and regulated by state governments, with additional federal regulations for those licensed by Medicaid/Medicare.



Choosing the right long-term care housing option depends on individual needs and preferences. It’s important to consider the level of care required, desired amenities, and the regulatory standards of the facility. Exploring these options can ensure a comfortable and supportive living environment for you or your loved one. KABC also offers free consumer information reports for all licensed adult care facilities. To learn more, visit www.kabc.org/consumer-information-reports

Advocacy in Action (September 2025): KABC Testifies on FY26 Budgets

By Libby Hastings • September 3, 2025
Dan Goodman, KABC Executive Director, recently provided testimony to both the Kansas Department for Aging and Disability Services (KDADS) and the Kansas Department of Health and Environment (KDHE) during their Fiscal Year 2026 budget hearings. Our message was clear: Kansas must invest in systems that protect the dignity, independence, and well-being of older Kansans. Key Recommendations from KABC Protect Access to In-Home Services • Projected shortfalls of $27M in FY26 and $70M in FY27 threaten the HCBS Frail Elderly Waiver. • Without funding, older Kansans may face a waitlist for services, leading to premature nursing home placement. Strengthen Care Coordination • Frail Elderly, Physically Disabled, and Brain Injury waiver recipients currently lack dedicated case management. • KABC urged implementation of the long-overdue $20M Community Care Coordination Service. Improve Oversight & Resident Protections (KDADS) • Surveyor vacancies are near 50%, delaying inspections and weakening resident protections. • We called for wage increases and innovative staffing models to close gaps in oversight. Increase the Personal Needs Allowance • Nursing home residents in Kansas receive only $62/month for personal expenses. • KABC supports raising this allowance—closer to the $70 national average—and tying it to cost-of-living adjustments. Continue the Statewide Senior Resource Guide (KDADS) • KABC requested $150,000 to maintain and distribute the statewide guide annually. • This investment ensures older Kansans have access to accurate, trusted information on care and services. Why It Matters By 2030, more than 20% of Kansans will be age 65 or older. Budget decisions made today will directly impact whether older Kansans can age with dignity, safety, and independence. Read KABC’s full testimonies to KDADS here and KDHE here .

Facility #2, 3, 4, and 5, Interview with Steve

September 2, 2025
Steve shares his journey through multiple long-term care facilities after a major surgery, describing repeated medication errors, poor food quality, untrained staff, and systemic neglect. His story highlights how understaffing, weak oversight, and profit-driven management leave residents without advocacy and dignity.