Licensing and Regulatory Affairs
In general, a home for the aged (HFA) provides care to persons who are aged (55 years old or older) while an adult foster care (AFC) home can provide care to any adult in need of adult foster care services. Additionally, Public Act 218 prohibits the licensure of new AFC's for more than 20 persons, while homes for the aged are licensed for 21 or more persons, unless they are operated as part of a nursing home.
The definition of AFC requires that adult foster care services be provided 24 hours a day, 5 or more days a week, for 2 or more consecutive weeks for compensation, while the definition for HFA does not have those additional qualifiers. Unlike nursing homes, AFC's and HFA's are prohibited from providing continuous nursing care though there are residents living in AFC's and HFA's who can receive hospice or nursing services from an outside agency.