The Fitch is a non-profit Residential Care community (Rest Home) licensed by the Department of Public Health. Residential Care communities follow Nursing Home Regulations which follow a medical model, holding The Fitch to a higher standard of care.nResidential Care communities are for residents 65 and older and tend to be smaller homes in a residential setting with much of the medical care built into the reasonable monthly rates, typically around 33% less than other larger communities.nnAssisted Living communities are governed by Executive Office of Elder Affairs and follow more of a business and social model. Because they have limitations on medical assistance and hands-on care, Visiting Nurse Associations (VNA’s) are typically called in to assist with residents more complex medical needs. These communities provide a style of living that are generally in residential apartment complexes for individuals 65 and older and have a focus on socialization within their communities.