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Supervised Living Residential

Residential services, sometimes described as “Supervised Living”, range from highly-supervised ICF/IDD (usually in six bed community settings) to lightly-supervised apartments. As individuals are exposed to community involvement via proven clinical methods and interventions, our objective is to move them to more independent arrangements. While this is not possible for all individuals, it remains the hope and goal of our staff members and management.


This service is a step toward community involvement not offered by state IDD institutions but provides a structured, safe 24/7 environment for individuals with profound disorders or complicated behaviors. Needed therapies are provided including physical therapy, speech therapy, occupational therapy, audiology and durable medical equipment. Services are physician ordered and supervised and nursing care and medication management is administered as needed. Day activities are included in this service at facilities run by CI. Twenty four hour awake-staff caters to the safety, comfort, supervision and personal goals of each resident.

Waiver Group Homes

So named because of their funding, these 2-5 bed community homes are primarily funded by various Medicaid Waiver programs plus patient individual resources (Social Security, Supplemental Security Income, State Special Assistance or VA benefits). Each residence offers 24/7 awake-staffing. While ICF/IDD offers some of the same services, individuals in these facilities are provided significant skill-building in activities of daily living. Included, based on each person’s needs and desires, are activities of grooming, household chores, meal preparation and social adaptive skills. Integration into the community is the primary focus.

AFL (Alternative Family Living)

Many of our ICF/IDD and waiver group home staff who developed healthy and caring relationships with our consumers became AFL providers. Similar to a foster care model, they have taken individuals into their homes to live as family members. Obviously, the concepts of family activities and community integration as a family offer IDD individuals unique advantages in their journey to independence. CI’s clinicians supervise the living arrangements, treatments and activities.

Supervised Apartments

Some individuals, through mentoring and training, progress to the point where they need minimal supervision and are able to live in an apartment. CI provides support and supervision and adherence to a clinician-crafted treatment plan with specific goals and interventions to reach those goals.

“SW was seriously injured as a young man and his family could not care for him. He came to CI from a nursing home. He lived in a 3-bed waiver group home for 10 years then transitioned to an AFL with a staff member from the group home. He says that she is like a second mother to him.”
- CI Manager