Your Free Guide to Starting a Group Home

What Is a Group Home and Who Runs Them?

A group home is a residential facility where a small number of people with similar support needs live together in a regular house or apartment. Unlike large institutions, group homes typically serve 4 to 8 residents who receive care and supervision from trained staff members. These homes operate in ordinary neighborhoods, allowing residents to be part of their local communities.

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Group homes serve different populations depending on their focus. Some specialize in serving adults with intellectual or developmental disabilities, while others support individuals in foster care, people with mental health conditions, older adults, or individuals recovering from substance use. Each type of group home has its own structure and staffing requirements based on the needs of the people it serves.

The people who run group homes are called operators or administrators. These individuals manage the day-to-day operations, hire and train staff, handle finances, and ensure the home follows all regulations. Some operators run a single home, while others manage multiple locations. To start a group home, you'll need to understand the business side—budgeting, hiring, scheduling, and reporting—as well as the care and support side.

Group homes are funded through a combination of sources. Government programs like Medicaid, Supplemental Security Income (SSI), and state developmental services funding often pay for residents' care. Some residents or their families may contribute funds. Private insurance sometimes covers portions of costs. Understanding funding sources is crucial because they determine how many residents your home can serve and what services you can provide.

The demand for group homes continues to grow. As institutions close and more families seek community-based care for their relatives, the need for quality group homes increases. Many states report waiting lists for group home placements, meaning there is ongoing demand for operators who can provide safe, supportive environments.

Practical Takeaway: Research the specific type of group home you're interested in starting—whether for people with disabilities, foster youth, seniors, or another population—because each type has different regulatory requirements, funding sources, and operational needs.

Regulatory Requirements and Licensing

Operating a group home legally requires obtaining proper licenses and certifications from your state. Licensing requirements vary significantly by state and by the type of population the home serves. For example, a group home for adults with developmental disabilities follows different rules than a foster care group home or a residential treatment facility for youth with behavioral health needs.

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Most states require group home operators to complete several key steps before opening. First, you'll need to identify the specific licensing category that applies to your planned home. This might be called a "community residential setting," "group home," "adult foster care facility," or another name depending on your state. Contact your state's department of health, department of human services, or department of social services to learn which agency handles licensing for your population type.

Common regulatory requirements include the following: maintaining current background checks and clearances for all staff members; ensuring staff members receive training on abuse prevention, first aid, and specific care topics; developing written policies on medication management, emergency procedures, and resident rights; maintaining health and safety standards in the physical building; and keeping detailed records about each resident's care, health, and progress. Many states also require that operators or designated supervisors complete specific training hours and sometimes pass certification exams.

The physical building itself must meet codes and standards. Inspectors will review fire safety features, sanitation, lighting, heating, space requirements, accessibility, and other elements. The home must have adequate bedrooms, bathrooms, kitchen facilities, and common areas. Many states specify minimum square footage per resident and requirements for outdoor space or access to activities.

Licensing is not a one-time event. Most states conduct annual or biennial inspections to ensure homes remain in compliance. Operators must renew licenses periodically—often every one to three years. During inspections, regulators review resident records, interview residents and staff, observe conditions, and verify that policies are being followed. Violations can result in fines, corrective action plans, or license suspension.

Practical Takeaway: Before making any investments or commitments, contact your state's licensing agency to request the specific regulatory requirements for the type of group home you want to start, including required training, background checks, facility standards, and inspection procedures.

Financial Planning and Funding Sources

Starting and operating a group home requires careful financial planning. Costs include property (whether purchasing or renting), renovations to meet regulatory standards, staff salaries, utilities, food, insurance, transportation, medical supplies, office expenses, and contingency funds. A realistic startup budget might range from $50,000 to $150,000 depending on your location, facility size, and initial needs, with annual operating costs typically ranging from $200,000 to $500,000 or more for a home serving 6 to 8 residents.

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Most group homes rely on government funding as their primary revenue source. Medicaid waiver programs are the largest funding source for group homes in many states. These programs allow states to waive certain Medicaid rules so that funds can be used for community-based services instead of institutional care. Rates vary by state and by the intensity of services needed. Some states pay group homes a daily or monthly rate per resident, while others use different payment models. To understand potential revenue, research what your state's Medicaid program pays for group home services in your specific service category.

Supplemental Security Income (SSI) is another funding source. Residents who receive SSI benefits often use these funds to contribute toward their room and board costs. The amount varies but can contribute several hundred dollars monthly per resident toward operations. Additionally, some residents have private insurance, family contributions, or other income sources that can be applied to their care costs.

A detailed business plan should project your revenue conservatively. For example, if you plan to serve 6 residents and your state pays $100 per day per resident for group home services, your annual revenue would be approximately $219,000 (6 residents × $100 daily rate × 365 days). However, you may not immediately operate at full capacity. Many new group homes operate at 50 to 75 percent capacity initially while building occupancy. Your financial projections should reflect realistic occupancy levels, not maximum potential.

Operating expenses require careful tracking and budgeting. Staff costs typically represent 60 to 75 percent of the budget. A group home usually needs at least one full-time supervisor or manager, plus part-time or full-time direct care staff. The number of staff needed depends on residents' needs and state requirements. Additional costs include property expenses (mortgage, rent, property tax, insurance, utilities), food and household supplies, transportation, medical expenses, and administrative costs like licensing fees, training, and office supplies.

Before opening, establish relationships with your state's funding agencies. Learn the application and payment processes. Understand timelines—some agencies process payments monthly, others quarterly. Plan for cash flow carefully, as there may be delays between when you provide services and when you receive payment. Many operators maintain reserve funds of 2 to 6 months of operating expenses to cover gaps.

Practical Takeaway: Create a detailed financial projection that includes realistic startup costs, conservative revenue estimates based on your state's actual reimbursement rates, and all anticipated operating expenses, then compare this to your available capital and potential financing options.

Finding and Preparing the Physical Property

Selecting the right property is one of the most important decisions in starting a group home. The building must meet regulatory standards while providing a comfortable, home-like environment for residents. Most group homes operate in regular residential houses or apartments rather than purpose-built facilities. This community-based approach helps residents live as independently as possible and participate in neighborhood activities.

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When searching for property, consider location first. The home should be in a neighborhood with access to public transportation, medical services, grocery stores, pharmacies, and recreational opportunities. Being in a regular neighborhood—not isolated from the community—is both a regulatory preference and a quality-of-life factor. Consider proximity to the individuals you'll serve and whether the location supports their employment, day program, or school options.

Regarding the building itself, you'll need sufficient space. Most regulations require a minimum of 50 to 100 square feet per resident in sleeping areas, plus additional common spaces. For a 6-resident home, this typically means needing at least 3 to 4 bedrooms (with some residents possibly sharing based on regulations and preference), at least 2 bathrooms, a kitchen, dining area, living area, and office space. The property must have outdoor space or easy access to parks and outdoor areas. Basements, attics, or other