Residential Homes
A safe, welcoming, comfortable place to call home is essential to living a life of independence. D&S manages over 380 residential homes in conveniently located and desirable neighborhoods throughout Texas, Tennessee, and Kentucky.
While structured differently to best meet individual needs as well as to comply with state regulations, all of our homes offer high quality services with the shared goal of supporting individuals to thrive at home and in the community.

Texas Residents: HCS Group Homes & ICF-ID Group Homes
HCS Group Homes – Up to four individuals share an HCS group home. Individuals have their own tailored bedroom and have a voice in choosing their housemates. They share living expenses such as rent, utilities, cable TV, and groceries.
ICF-ID Group Homes – We have 6-person, 8-person, 10-person, and 13-person ICF homes located across the state. Individuals often share a bedroom, but they still enjoy personal space and tailor their room to their wants and likes. This environment is less restrictive than large facilities, while still maintaining 24-hour supervision and supports.
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Tennessee Residents: Supported Living, Medical Residential, & ICF-ID
Supported Living – Up to three individuals share a Supported Living home. Individuals have their own bedroom tailored for their needs and have a voice in choosing their housemates. They share living expenses such as rent, utilities, cable TV, and groceries.
Medical Residential – Up to three individuals share a Medical Residential home. The Medical Residential setting is for individuals who require intensive direct nursing and care oversight. These homes have around-the-clock nursing supports to ensure that all unique medical needs are met.
ICF-ID – Up to four individuals share an ICF home. Our ICF homes are fully equipped with adaptive supports and are completely accessible to fit all needs.
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Kentucky Residents: Staffed Residences
Staffed Residences – Up to three individuals share a Staffed Residence. Individuals have their own bedroom tailored for their needs and have a voice in choosing their housemates. They share living expenses such as rent, utilities, cable TV, and groceries.
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Specialty Services Homes
Our wide array of homes includes those specially designed for wheelchair access and adaptive equipment, individuals with hearing impairment, and individuals with visual impairment. Learn more about specialty services homes in your area.
Supports Oversight
Our House Managers oversee the daily operations in each home to ensure that the basic needs of each individual are met. Each home has a dedicated House Manager that works closely with the local office staff to provide a comfortable living environment, work on the goals and objectives of each individual daily, and integrate the individuals we support in their local communities.Services include:
- Dressing
- Personal hygiene
- Nutrition education
- Meal preparation
- Household chores
- Budget management
- Scheduling/appointments
- Social skill building
- Medication administration (as permitted)
Life at Home
Big changes often happen in small steps over time. Our homes and supports are designed to help individuals learn life and social skills to support their independence and work toward personal goals every day.
A Place for Socializing
Social activity is an essential part of everyday life. Our shared homes offer large common living areas to encourage group activities like playing games, watching TV, and just talking over the events of the day.
Family Meals
Family-style meals are a tradition at D&S. All shared homes include a dining area for the enjoyment of the residents at mealtime or for special occasions with family and friends. Individuals share responsibility for meal planning, grocery shopping, cooking, and clean up.
Transportation Services
Being “on the go” is a normal way of life for the individuals we support. D&S outfits each home with a vehicle to supplement public transportation and support the outside activities that are important to each individual. Transportation includes rides to work, vocational training, school, medical appointments, shopping, movies, community events, and other activities.