Licensed Adult Family Homes · Wisconsin

A True Home, Not Just Care.

Baraka Houses Inc. operates licensed adult family homes accommodating a maximum of four residents each. A staffing ratio that allows our caregiving team to work from a documented understanding of every resident's clinical history, functional baseline and personal routine.

A Baraka Houses adult family home in the Madison area
Mission Statement

Baraka Houses Inc. provides licensed residential care that safeguards the health, safety and dignity of every resident, delivers individualized support calibrated to assessed need, and sustains the autonomy, privacy and community connection of the adults entrusted to our care.

Our Model

What Baraka Houses Provides

Baraka Houses Inc. operates licensed adult family homes across Wisconsin. Each is licensed and inspected by the Department of Health Services, Division of Quality Assurance, Bureau of Assisted Living under administrative code chapter DHS 88, with caregiver background checks governed by chapter DHS 12.

Our residents receive care and services well beyond room and board, including up to seven hours of nursing care per resident per week, delivered in coordination with their own physicians, specialists, therapists and home health providers, and ranging from standby supervision through full personal care assistance, memory and behavioural support, and short-term respite.

The four-resident licensed capacity is a deliberate clinical standard, not a constraint on the organisation. It establishes a caregiver-to-resident ratio that most congregate settings cannot match, and it is what allows our team to hold a reliable functional and behavioural baseline for each individual, so deviation such as reduced intake, disturbed sleep, new confusion or altered continence is detected at presentation rather than in retrospect.

Licensing and standards

At a Glance

Residents per home
Maximum of four
Setting
Licensed residence in a residential neighbourhood
Staffing
Consistent team, on site 24 hours
Accommodation
Private, furnished rooms
Regulator
Wisconsin DHS, Bureau of Assisted Living
Nursing care
Up to 7 hours per resident weekly
Scope of Services

Care Provided in Our Homes

Each resident is admitted under a written individual service plan derived from a pre-admission assessment. The level of assistance provided in each area below is determined by that assessment and revised on any change in condition.

Activities of Daily Living

Bathing, dressing, grooming, toileting and continence care, oral intake, mobility, transfers and positioning: assistance available from standby supervision through to total dependence, with transfer status and fall risk assessed and reassessed.

Instrumental Activities of Daily Living

Medication management, meal planning and preparation, housekeeping and laundry, transportation and appointment coordination, personal funds management on request, communication support, and navigation of the wider health system on the resident's behalf.

Medication Administration

Scheduled and PRN medications administered and documented on an electronic medication administration record at the point of administration, with reconciliation on admission and after every hospitalisation or prescriber change, and controlled substances stored under separate lock with count records.

Health Monitoring and Coordination

Vital signs, weight, intake, skin integrity, sleep, continence, mood and cognition monitored and charted, with change in condition escalated to the prescriber and the family, and care coordinated across primary care, specialists, therapy, home health and hospice.

Nutrition and Dysphagia Management

Meals prepared in the home to each resident's prescribed diet and texture specification, including mechanically altered and pureed consistencies, thickened liquids and aspiration precautions, with oral intake and hydration monitored.

Memory and Behavioural Support

A low-stimulation home with structured routine and close supervision for residents with dementia, and consistent implementation of written behaviour support plans with antecedent and behaviour charting.

Program Goals

Standards We Operate To

These are the standards against which families, guardians and referring case managers may hold the organisation accountable.

Individualized Service Planning

Each resident is admitted under a written individual service plan derived from a comprehensive pre-admission assessment. The plan specifies the assistance required for each activity of daily living, medication regimen, dietary and swallowing requirements, mobility and transfer status, cognitive and behavioural considerations, and personal preference. Plans are reviewed on a scheduled basis and revised on any change in condition.

Preservation of Function and Autonomy

Assistance is calibrated to retained ability rather than delivered uniformly. Residents perform the components of each task they remain capable of performing, on the clinical principle that assistance exceeding assessed need accelerates functional decline. Restrictive measures are applied only where clinically indicated and documented.

Medication Accuracy and Accountability

Every dose administered, refused or held is documented at the point of administration. Medication reconciliation is performed on admission and following every hospitalisation or prescriber change, and physician orders are implemented the same day they are received.

Early Identification of Change in Condition

A licensed capacity of four residents per home sustains a caregiver ratio that permits establishment of a reliable behavioural and functional baseline for each individual. Intake, sleep, continence, mood, weight and skin integrity are monitored so that deviation is identified and escalated at presentation rather than retrospectively.

Nutritional Adequacy and Dysphagia Safety

Meals are prepared in the home to each resident's prescribed diet and texture specification, including mechanically altered and pureed consistencies and thickened liquids. Oral intake and hydration are monitored, and modified-texture orders are followed as written.

Continuity of Caregiving Staff

Care is delivered by a dedicated, consistently assigned caregiving team who know each resident's history, routine and communication style. Continuity is treated as a clinical control rather than a scheduling convenience, because it is what makes subtle change in condition detectable.

Daily Structure

The Structure of a Day

The day follows a consistent sequence while accommodating individual preference. Residents are not woken to suit staffing schedules; waking, bathing and mealtimes are adapted to each resident's established routine and recorded in their service plan.

Morning

Residents wake on their own schedule. Assistance with bathing, dressing and grooming at the assessed level, morning medications administered and documented at the point of administration, and breakfast prepared to each resident's diet and texture order. Overnight observations are reviewed and any change reported.

Midday

A prepared lunch taken together. Medical appointments, therapy visits and errands are scheduled in this window, with transport and accompaniment provided. Residents who prefer solitude receive one-to-one attention; others participate in shared activity.

Afternoon

Rest periods, family visits, activity and time outdoors where the weather permits. Vital signs, weight and any ordered monitoring are recorded. Family visits commonly occur during this period; visiting is not restricted to fixed hours.

Evening

Dinner prepared to order, evening medications administered and documented, assistance with evening personal care, and preparation for bed at each resident's own hour. Snacks and fluids remain available.

Overnight

Staff remain on site. Residents requiring repositioning, toileting assistance, reassurance on waking disoriented or documented sleep monitoring are checked at the intervals specified in their plan, and those checks are recorded so that any change in pattern is identifiable rather than anecdotal.

Accommodation

Room Options

Availability varies by home and moves quickly; current openings are confirmed by calling us.

Memory Care Room

A private room within a structured, closely supervised household, with the routine and environmental cues indicated for residents with dementia, including those presenting exit-seeking behaviour or significant disorientation.

Admission

The Placement Process

Families frequently make contact under time pressure during a hospital discharge, following a fall, or after a new diagnosis. The process is set out in full below so that it can be planned for.

  1. Initial Enquiry

    We discuss the level of care required, the individual's current setting and the anticipated timeline, and advise on availability. Where our homes are not an appropriate placement we say so at this stage and indicate why.

  2. Documentation

    Case managers and discharge planners submit clinical documentation through the secure referral form. Families may provide records by whichever method is most convenient.

  3. Pre-admission Assessment

    Review of diagnoses, medications, ADL and IADL status, transfer and fall risk, cognition, behaviour, dietary and swallowing requirements, continence and advance directives, to establish that the identified needs can be met safely in the home with the opening.

  4. Tour and Meeting

    The prospective resident and family tour the home, meet the caregiving team and view the accommodation. We assess the individual in their current setting hospital, home or facility where they are unable to travel.

  5. Service Plan and Admission

    The individual service plan and admission agreement are completed prior to the move, so that care is delivered correctly from the first day rather than established during the first week.

Response time

Referrals submitted through the secure form receive a response within 24 to 48 hours. For an urgent hospital discharge, please call us rather than using the form.

Referral Sources

Hospital discharge planners, county and managed-care case managers, guardians and corporate guardians, and senior placement advisors.

Case Managers and Discharge Planners

Submit a referral with supporting documentation. Files are encrypted on receipt and stored securely, with a response within 24 to 48 hours.

Submit a Referral

Determining the Appropriate Level of Care

This is among the most frequent enquiries we receive. Describe the situation and we will give a direct assessment including where an individual requires a higher level of care than a licensed adult family home may provide.