The In-Home Care ADU Guide

Designing an ADU for in-home care

Build a home where caring for someone you love is safe, close and sustainable — with dignity for them and support for the people doing the caring.

We’ve built dozens of ADUs for every application. This guide is our team’s compilation of thousands of hours of ADU design and building — everything we know about building for in-home care: how to plan it, design it, and build it right.

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ADU built for in-home care: a curbless walk-in shower with a seamless tile floorADU built for in-home care

Who this guide is for

  • Someone you love is in, or facing, assisted living or a nursing home — and you want them home.
  • Care will involve family, a visiting aide, or a live-in caregiver, and the home has to work for all of them.
  • You want an honest answer about whether home care is right — and what the home needs if it is.

What’s inside

In the order a builder would walk you through it.

  1. Is an ADU the right care setting?

    The alternatives, the honest limits of home care, and a calculator for the real monthly difference.

  2. Why closeness is part of the care

    What the research says about isolation and health in later life, and how the design keeps family close.

  3. Talk to the care provider first

    Who to call, a checklist of questions to ask them, and a place to record what they need.

  4. Designing for care

    The path between the homes, the living core, the care bathroom, the care bedroom, and a place for the caregiver.

  5. Size, utilities and care level

    How much home the care requires, and the utility decisions that shape the budget.

  6. How the two homes work together

    Easy visitation, a caregiver’s route, and privacy you can dial up or down — with a decision helper.

  7. Building right without overpaying

    Where money buys safety and where it doesn’t show.

  8. What building actually looks like

    All fourteen stages, and what decides when your loved one can move in.

  9. Choosing a builder and paying for it

    Care-specific questions for builders, and financing paths including care funds.

  10. A real story and your care brief

    One family’s move out of a nursing home, then your spec checklist and printable brief.

Sample pages

Built to be used, not just read.

Questions for your care provider

Equipment, transfers, bathing, access and safety — ticked off as you get answers.

The care provider question checklist from the guide, partly completed

Your care ADU brief

Who it’s for, who provides care, what the care requires, and what your care provider told you.

A completed care ADU brief generated by the guide
From one of our builds

Home again

A grandfather living in a nursing home at about $8,000 a month moved into a 650 SF care-ready ADU in his family’s backyard. Visits went up enormously — and the family still saves each month after the ADU payment.

~$6,000/moSaved compared with the nursing home, after the ADU payment

Names and details are withheld for privacy. The full story is in the guide.

Common questions

About this guide

How do I know if home care is realistic for my loved one?

The guide covers this plainly, including the situations where an ADU is not the right setting — such as 24/7 skilled nursing or advanced dementia with wandering. When in doubt, it recommends talking to their physician or a geriatric care manager before you build.

Is this medical advice?

No. It’s design and construction guidance from builders, written to be used alongside the advice of your loved one’s physician and care provider — and it shows you exactly what to ask them.

What’s the difference from the Age-in-Place guide?

Age in place is about staying independent as needs gradually change. This guide is for care that’s needed now: room to assist, equipment, a caregiver’s space and route, and working with a care provider.

How do I get the guide?

Right after checkout you get access to the guide in your web browser — on a computer, tablet or phone. Your answers in the calculators and worksheets save on your device as you go, and your brief prints or saves as a PDF.

What if it isn’t helpful?

If the guide doesn’t leave you with a clearer, more confident plan, reply to your guide email within 30 days for a full refund. You keep everything.