NAICS 6239

Other Residential Care Facilities

NAICS 6239 other residential care facilities: community-based housing and personal care services for individuals with disabilities, mental illness, and support needs.

Industry at a Glance

Sector-wide aggregates across all businesses classified under NAICS 6239 (2017 classification frame). For specific sub-industries within this sector, see the individual reports below.

Employment
118K
US Census CBP · 2023 · NAICS 2017
Establishments
5,988
US Census CBP · 2023 · NAICS 2017
Annual Payroll
$5.2B
US Census CBP · 2023 · NAICS 2017
Avg Annual Wage
$43,624
Derived from US Census CBP · 2023 · NAICS 2017
Market Size
$9.2B
US Census Economic Census · 2022 · NAICS 2017

Industry Overview

NAICS 6239 encompasses other residential care facilities that provide supervised housing and personal care services to individuals who require assistance with activities of daily living but do not require the level of skilled nursing care provided in nursing homes. This industry group includes facilities serving specialized populations such as persons with intellectual or developmental disabilities, persons with mental illness, substance abuse treatment residents, and other individuals needing residential support services. These facilities are distinguished from nursing care facilities (NAICS 6231) by their focus on personal care, social services, and behavioral support rather than medical and nursing services. The industry plays a critical role in the long-term care ecosystem, offering alternatives to institutional care and enabling community-based living arrangements for vulnerable populations. Facilities typically employ care workers, counselors, and support staff who provide case management, therapeutic services, and assistance with housing stability alongside daily living support.

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Industry Trends

01

Increased emphasis on person-centered care models and individualized service planning that prioritize resident autonomy, choice, and community integration rather than institutional approaches.

02

Growing adoption of technology systems for care coordination, electronic health records, and remote monitoring to improve service quality and operational efficiency across residential settings.

03

Expansion of recovery-oriented and trauma-informed care practices, particularly in facilities serving individuals with substance use disorders and mental health conditions, reflecting evolving evidence-based treatment approaches.

04

Rising regulatory scrutiny and compliance requirements around resident safety, staff training, and quality of care metrics, driving facility investments in administrative capacity and staff development.

05

Increasing workforce challenges including recruitment and retention difficulties, wage pressures, and competition for workers with the broader home health and long-term care sectors.

Specialty Reports Available on Request

1 specialty industriesavailable on request
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Frequently Asked Questions

What is NAICS 6239? ▾
NAICS 6239 classifies other residential care facilities that provide supervised housing and personal care services to persons requiring assistance with daily activities but not skilled nursing care. This includes group homes for persons with developmental disabilities, mental illness treatment residences, substance abuse recovery facilities, and other community-based residential care settings. These facilities emphasize social support, behavioral treatment, and community integration alongside basic personal care services.
What is the difference between NAICS 6239 facilities and nursing homes? ▾
NAICS 6239 facilities (residential care) primarily deliver personal care and social services with limited or no nursing care, serving individuals with stable health conditions who need supervision and assistance with daily living. Nursing homes (NAICS 6231) provide skilled nursing services, medical care, and rehabilitation for individuals with more intensive healthcare needs. Residential care facilities generally serve more mobile, cognitively intact populations, while nursing homes serve those requiring ongoing medical management and nursing oversight.
Who operates residential care facilities under NAICS 6239? ▾
Operators include for-profit corporations, nonprofit organizations, government agencies, and independent proprietors. Providers range from small family-operated group homes with fewer than ten residents to large regional and national chains operating hundreds of facilities. Many facilities are licensed by state social services or developmental disabilities agencies, and funding typically combines resident payments, Medicaid, state subsidies, and private insurance.
What regulatory frameworks govern NAICS 6239 facilities? ▾
Regulatory oversight varies by state and facility type, with requirements established by state departments of health, social services, or developmental disabilities. Standards typically address licensing, staff qualifications and training, resident rights, safety protocols, health and sanitation, and care planning. Federal regulations apply when facilities receive Medicare or Medicaid funding, and specialized regulations govern substance abuse treatment and mental health residential programs.
What staffing models are typical in residential care facilities? ▾
Staffing typically includes resident care workers or direct support professionals who provide personal care and supervision, case managers or counselors who coordinate services and treatment, facility administrators, and support personnel. Many facilities operate with shift coverage including overnight supervision. Staffing ratios and qualifications vary by state regulation and facility type, with some positions requiring certification in first aid, CPR, or specialized training relevant to resident populations served.

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