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Assisted Living vs. Memory Care

Wisconsin does not license memory care separately from standard assisted living -- it is a CBRF or RCAC that has documented dementia as an admissible client group.

HomeComparisonsAssisted Living vs. Memory Care
Short answer

Wisconsin does not require a separate memory-care certification (unlike Texas) or a dementia-specific disclosure form (unlike Ohio). What is marketed as memory care is a CBRF or RCAC that has designated dementia as an admissible client group in its DHS program statement, with client-group-specific staff training required under DHS 83.21(2).

What actually differs, physically

  • Secured exits, door alarms, and often a dedicated courtyard designed to prevent wandering.
  • Staff trained specifically on dementia care within 90 days of hire, per DHS 83.21(2).
  • Typically a higher staffing ratio, though there is no state-mandated minimum specific to memory care -- ask for the overnight ratio inside the secured unit directly.

No state-published memory-care cost median exists anywhere, for Wisconsin or any other state. Get quotes in writing from each community rather than trusting an online average.

Questions families ask

Does Wisconsin have one 'assisted living license' like some other states?

No. Wisconsin runs four separate license/certification types -- Community-Based Residential Facility (CBRF), Residential Care Apartment Complex (RCAC), Adult Family Home (AFH), and nursing home -- each licensed by the DHS Division of Quality Assurance, Bureau of Assisted Living, under different rule chapters. There is no single umbrella 'assisted living' license the way some states use the term.

What is a CBRF in Wisconsin?

A Community-Based Residential Facility (CBRF) is a residential setting where 5 or more unrelated adults live together and receive room and board, supervision, and support services, plus up to 3 hours of nursing care per week per resident. CBRFs are licensed under Wis. Admin. Code ch. DHS 83 by the DHS Bureau of Assisted Living.

What is an RCAC and how is it different from a CBRF?

A Residential Care Apartment Complex (RCAC) offers independent apartment units, not shared rooms, where residents receive room and board, personal care, and nursing services -- up to 28 hours per week of supportive care per resident, a materially higher ceiling than a CBRF's 3 hours. Both are licensed/certified by the DHS Bureau of Assisted Living.

What is an Adult Family Home (AFH) in Wisconsin?

An Adult Family Home is a private home where 3 or 4 unrelated adults reside and receive care, including up to 7 hours per week of nursing care per resident, licensed by the DHS Bureau of Assisted Living. Smaller 1-2 bed adult family homes are regulated separately, under DHS's Division of Medicaid Services rather than DQA licensing.

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