With most board and care homes, a resident will interact with just three or four caregivers each week. This allows caregivers and residents to form a close bond, which many seniors prefer. Homes range in care giving levels, from simply providing a personal presence for seniors to dealing with severe medical conditions. If fact, some specialize in very specific areas of healthcare and their related needs, such as non-ambulatory residents, stroke or paralysis residents, diabetes care, oxygen needs, catheters, colostomy’s, and cognitive and memory impairments such as dementia, Parkinson’s and Alzheimer's disease. Some medical conditions such as a feeding tubes or tracheotomies cannot be handled by board and care homes.

Generally, Board and Care homes are managed and owned by an individual or family who are closely involved in day-to-day activities of home. Board and care homes are a refreshing alternative to more business like approach of an assisted living or skilled nursing facility.