Nine to 20 bed facilities are also fairly common. Wisconsin has very few facilities over 20 beds. CBRFs are regulated and monitored by the state. Persons residing in a CBRF will have either a private or shared bedroom, may have a private bath, and will share the other living areas such as the kitchen, living room, dining room, etc. with other residents in the facility. CBRFs generally specialize in serving a specific population such as frail older adults, persons with Alzheimer's or other irreversible dementias, or individuals with developmental disabilities.
Most CBRF residents pay privately for services.
Medical Assistance Waiver funds are used to pay for a small percentage of low-income CBRF residents. Medicare may cover a limited amount of skilled nursing service, therapy, or durable medical equipment, but is not considered a primary funding source for CBRF care. The main difference is that Adult Family Homes serve fewer persons per home. An Adult Family Home is a place where up to four adults, who are not related to the operator, receive care, treatment and services that are above the level of room and board and that may include up to seven hours per week of nursing care per resident. Persons residing in an AFH will have a private or shared bedroom and will share other living spaces such as the kitchen, dining room, and living room with other tenants and the family members residing there.