A community residential setting (CRS) is a licensed residential setting that serves adults and where the license holder does not reside. This setting typically uses a shift-staff model of support (i.e., paid staff work shifts on a 24-hour basis). In this type of setting, at least one person receives community residential services funded by an HCBS waiver program.

Community residential services cover training and/or habilitation, ongoing residential care, and supportive services that are individualized and based on the person’s needs. This may include increasing and maintaining the person’s physical, intellectual, emotional, and social function in the following areas:

• Assistance with activities of daily living
• Communication skills
• Community participation and mobility
• Health care
• Household management
• Interpersonal skills
• Leisure and recreation
• Medication oversight to the extent permitted under state law
• Money management
• Positive behavior and mental health support
• Self-care
• Sensory and motor development
• Socialization