The heart of Down Home Ranch has always been the residential program. These unique living options support a rural community lifestyle and personal growth.

Residential Options at Down Home Ranch

The majority of the residential homes are located on the Ranch. This includes group, suite style and independent living. Ranchers who take part in the Home and Community Based Services (HCS) wavier, live within the city limits of Elgin.

Each of the following are residential models supported by the Ranch:


  • Room and Board
  • Day Program
  • Transportation
  • Nursing (RN)
  • Case Coordination
  • Case Management
  • Vocational Services


  • Community Center
  • Pool
  • Basketball Court
  • Archery Range
  • Fishing Pond
  • Kayak Boat Launch
  • Horses and other animals
  • Fire Pit
  • Maintained Hiking Trails


The potential Rancher must have a desire to live a rural way of life, in a small community setting.

Trial Visit

Before committing to a long term residential place, the potential rancher should plan a respite to determine fit.


On the Ranch's COVID-19 page, you will find useful information to review.

Sign up to live at Down Home Ranch

Those interested in residency should complete the interest form, consider joining our email list, visit our website often and check out Facebook for news and upcoming events.

The Residency Interest Forms will be reviewed by a member of our staff, and families will be contacted if their applicant appears to be a good match

Click to Complete the Online Residency Interest Form

If you would rather complete the residency interest process offline, please download the fillable Residency Interest Form, email the completed document to

PAYING FOR Residency

Private Pay is $4,000 a month

  • Room and board
  • Day Programing
  • Ranch sponsored events and transportation
  • Any additional fee is paid by the Rancher

HCS is covered by Medicaid

  • Room and Board is paid separately by Social Security Income
  • Ranchers are responsible for paying Medical copays
  • Day Program, and other services are paid through HCS
  • Ranch sponsored events and transportation

ICF/IDD is covered by Medicaid

  • Room and Board is paid separately by Social Security Income
  • Day Program, all medical necessary copays and aids are covered at no additional charge
  • Any elective medical aid is not covered
  • Ranch sponsored events and transportation


  • Some activities may have an additional fee for entry