09/29/2026
So it’s time for a Terrifying Things That I Learned and am now sharing with you…
I’ve spent a large majority of the past few years trying to navigate the increase of adult group homes in our neighborhoods. It is incredibly frustrating in that there are not many things a municipality can control these homes and the potential is great for harm to a very vulnerable population.
Here’s how we got here. So people who needed more intensive care due to addictions or medical reasons in the past were placed in institutions and often forgotten about. Obviously, the potential for mistreatment was great and this was not always an appropriate level of care. Following the growing awareness of problems with this method in the 60’s and 70’s and the One Flew Over the Cuckoo’s Nest novel and movie- states and the federal government started to move to a more community based care model. Options were divided based on how many people they could service. If 5 or more unrelated people live together it is a Community-Based Residential Facility. This post is not about those.
If a home is serving 4 non-related individuals it is classified as an Adult Family Home aka group home. These are monitored by Wisconsin Department of Health Services Division of Quality Assurance. Municipalities do not have any ability to limit where these facilities are located or any ability to license or legislate against them. Prospective home buyers do not have to disclose they are planning to turn a single-family home into a group home. Most of the individuals who reside in these homes need support and 24 hour supervision or care. The state is incentivized to place individuals in these homes as they are often less expensive than staying in a hospital situation. The majority of people utilizing these facilities are on Medicaid. While attempts are made by the state to monitor and make sure that appropriate care is given, there is simply not enough money, employees and community urging to make sure that we meet our obligations to these people.
I have heard horror stories from neighbors, police officers, realtors and first responders. I can only imagine I have not heard from residents as they do not have the ability to raise alarms or the belief that things will change. When one of these homes is not being managed appropriately, it effects so much. Neighbors must put up with houses that are not always maintained to standards. There are also frequent disturbances and disruptions. Property values may be affected. EMS and Police are dispatched at a higher rate to deal with issues and health emergencies. In addition, because of HIPAA, first responders cannot always communicate with the state department what they are seeing in these facilities. Finally, patients are often not given the care they need and deserve. The care we are often paying for them to receive with our taxes. This is morally wrong. I believe we have a responsibility as a community and country to care for people unable to care for themselves.
So what can we do….. this is the part that hurts. At the local level, very little. As neighbors, we need to make sure we are supervising these facilities and reporting when we see problems. Reports of mistreatment or something that might need to be looked into can be filed at this link-
https://www.surveygizmo.com/s3/4488026/DQA-Complaint-Intake-Survey
Reports can be filed anonymously. We need to pressure our state and federal representatives to work towards making it less easy for people to fall through the cracks. We need to find a way to make sure that neighborhoods are not destroyed by these homes. We need to provide more funding and authority to our first responsders and supervisory agencies to work together and move quicker when problems arise. And if you have a loved one that needs this sort of care- RESEARCH! Stop by often and make sure that they are getting the care they need and deserve.
There is one other level of care which maybe the best for some people. There are 1-2 bed homes. Often someone becomes qualified to open one of these just to care for a family member in their home. That is a wonderful thing to do if you are able to. However, there is no agency providing inspections or supervising this type of situation so the possibility of abuse is high. Again, please keep an eye on your neighbors and if you think abuse maybe happening- report it. I would love to see more accountability for maintaining proper care in these situations also.
This is a big problem and it is not going to go away. If anything as our population grows we can expect more of these to open up. They make money and the ability to abuse the system is great. Take 4 people who cannot advocate for themselves and hire someone who probably has no skills or background in caregiving and just make sure someone does not die. As a community and as human beings - we need to do better. Look out for each other. File reports if something seems off. Contact state and national representatives and demand better.
Whatever you did for the least of these, you did for me- Matthew 24:40
We’re all in this together. - High School Musical.