What is adult foster care in Michigan?
Adult foster care is Michigan's licensed residential care for adults who need supervision but not continuous nursing care, from three-to-six-resident family homes up to congregate facilities. Our five counties have 197 AFC homes of 12 or fewer licensed to serve the aged.
| County | Small AFC homes | Serve Alzheimer's | Beds |
|---|---|---|---|
| Kent | 128 | 57 | 916 |
| Ottawa | 22 | 8 | 145 |
| Allegan | 23 | 8 | 159 |
| Montcalm | 14 | 1 | 104 |
| Ionia | 10 | 6 | 82 |
Who does well in a small adult foster care home?
People who do better with a household than a building: those with dementia who are calmer with the same few caregivers, people who find dining rooms and activity calendars overwhelming, and families who want to know every staff member by name.
Check the populations served on each home's LARA profile -- many small AFC homes also serve adults with mental illness or developmental disabilities, which may or may not suit an older parent. Ask who is awake overnight and how the home covers a sick call.
How are small AFC homes inspected?
LARA re-inspects at license renewal, may do an interim inspection near the midpoint of the license, and investigates rule-related complaints; every report is published on the home's LARA profile.
How to read them: checking a LARA license.
Where are small adult foster care homes around Grand Rapids?
Kentwood, southeast Grand Rapids and Wyoming have the densest clusters, with more scattered through Caledonia, Holland and the smaller towns.
All of them: small AFC directory.
Who operates the small adult foster care homes around Grand Rapids?
154 different licensees run the 197 small AFC homes serving older adults in our five counties; most hold a single license, and a handful operate several homes.
Licensees with the most small homes on our list:
- Dignified Care LLC -- 5 homes
- Brightside Living LLC -- 5 homes
- Enriched Living, LLC -- 4 homes
- Turning Leaf Res Rehab Svcs., Inc. -- 4 homes
- Nelson Homes Inc -- 3 homes
- Horminy Family LLC -- 3 homes
- New Hope Group Home, LLC -- 3 homes
- Above and Beyond Care, LLC -- 2 homes
What do small AFC homes' state records usually show?
Of the 181 small homes with a renewal report on file, 148 had no violations established at their most recent renewal, and the group averaged 0.6 special investigation reports since October 2023.
Common renewal citations at small homes involve paperwork -- resident assessment plans, staff training records, medication logs. Paperwork matters because it is how a home proves care happened; ask how the home tracks medications.
