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

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Inside Kansas Nursing Homes: A Special Series Returns in Honor of KABC’s 50th Anniversary In celebration of Kansas Advocates for Better Care’s 50th anniversary, we are proud to reintroduce a powerful special series from our early days as Kansans for Improvement of Nursing Homes. Originally launched in the mid-1980s, Inside Kansas Nursing Homes: Through the Eyes of the Experts offered an unflinching look at nursing home care across Kansas, as observed by those who know it best: the relatives, friends, residents, and caregivers of residents. Now, nearly four decades later, we are bringing this vital series back, with the same grassroots spirit and commitment to truth. This first issue of Volume One marks the beginning of our updated report on the current state of nursing home care in Kansas, informed by the honest voices of frequent visitors who witness daily life inside these facilities. Since April 2025, we have been gathering recorded and transcribed conversations with individuals who care deeply about their loved ones in long-term care. These candid reflections are edited to preserve confidentiality—identifying details are removed, names are changed, and nursing homes are referred to by assigned numbers and regions. Mentions of facilities in passing are designated with alphabetical letters (e.g., Nursing Home A). Over the next year, we aim to gather insights on at least 40 to 50 percent of Kansas’s 305 nursing homes. Volume One of this series, covering roughly 40 homes, will be released in serial form over the coming weeks. Through these voices, we invite readers to reflect, question, and advocate, just as we did in the 1980s. Because meaningful change begins when we listen.