Small homes usually accommodate upto 6 residents with live in caregivers. Each home is managed by a licensed administrator and staff by trained staff who have undergone medical and background checks.  24/7 staff should be available.  The ratio of staff to residents is usually high compared to larger institutions, therefore residents often enjoy greater attention and individualized care.  The style and quality of care varies widely according to the management.

It is highly recommended that you visit the homes and meet the administrator, caregivers and current clients to get a good feel for the residence.  Pay close attention to cleanliness and safety features of the home.

Consider the ambiance and the interactions between the clients and staff.  When possible, ask for testimonials and talk with current clients.  Some homes may have limitation in terms of caring for certain health and medical conditions, so discuss your specific requirements with the administrator