For thousands of families, group homes are presented as the next step. A structured environment designed to provide care, stability, and support for teens and adults with disabilities. Funded largely through public programs and operated by private providers, these homes sit at the intersection of healthcare, housing, and social services. But behind that promise is a system that operates largely out of public view, where oversight varies widely by state, staffing is strained, and accountability is often difficult to trace.
Across the United States, most group homes are not run directly by the government. Instead, states contract with private organizations—nonprofits and for-profit providers alike—to deliver services funded through Medicaid Home and Community-Based S…
