RPA, CHSLD, Intermediate Resource: What Are the Differences?

When the time comes to find accommodation for an elderly loved one, the Quebec system can seem complex. RPA, CHSLD, RI-RTF... here is a quick guide to sort it all out.

The RPA (Private Senior Residence)

This is what you will find on Place 65+. An RPA is a private rental building that offers, in addition to housing, assistance and care services for people aged 65 and over. It is certified by the MSSS.

For whom: Autonomous to semi-autonomous individuals, up to those with significant loss of autonomy (category 4).

Funding: Private — paid by the resident, sometimes with government assistance (PSL, tax credit).

The CHSLD (Long-Term Care Center)

A CHSLD is a public (or privately contracted) facility for people with a major loss of autonomy who can no longer live at home or in an RPA.

For whom: People with severe loss of autonomy, requiring continuous medical care.

Funding: Largely subsidized — cost to the resident calculated based on income (max ~$1,800/month in 2025).

Access: Through the CLSC in your area — an autonomy assessment (SMAF tool) is required.

Intermediate Resources (RI) and Family-Type Resources (RTF)

An RI or RTF is a small living environment (often a house or small building) where a person or couple welcomes residents. It is halfway between a private home and a CHSLD.

For whom: People with moderate to severe loss of autonomy, often with mental health needs or intellectual disabilities.

Funding: Subsidized by the health network — little or no cost to the resident.

Summary

Type	Autonomy	Cost	Access
RPA	Autonomous to significant loss	$1,800 – $7,000/month	Direct
CHSLD	Severe loss	Based on income	Via CLSC
RI/RTF	Moderate to severe	Subsidized	Via CLSC