Private Residential Care Facilities (RCFs) fill the gap between independent community living and institutional settings for seniors. There are marked differences between RCFs which make them difficult to compare. To address this issue, the objective of this study was to develop and validate a classification of RCFs based on their physical and organizational environments. RCF owners across Quebec were invited to complete a questionnaire that described the setting’s physical and organizational environment. Different combinations of cluster analysis methods and statistical parameters were used to identify plausible classifications. The final choice was made by an expert committee. Overall, 552 owners returned the questionnaire. Three plausible classifications were submitted to the committee. The selected classification included five clusters that differed with regard to admission criteria, services offered and recreational activities. This classification could help health professionals select the RCF that best responds to older adults’ needs.

This study examines the links between four organizational features of private housing for older persons (service level, perception of environmental control level, tolerance level of caregivers toward seniors and their input in decision making) and the social integration of seniors. This last variable is assessed according to four indicators: presence or absence of meaningful relationships, satisfaction with social life, feeling of loneliness and number of contacts with neighbours. The results obtained by analysing the logistic or ordinal regression and the odd ratio associate two of the four organizational variables studied to most of the social integration indicators irrespective of the subjects' vulnerability level. The two features are service level and perception of environmental control level.