How does the referal process work for a residential care program?

Don't need referal. Often, individuals do not need a referral for residential care. It can be very helpful to have a referral from a geriatric psychiatrist or pcp. But often, one isn't needed. Many are "step down" facilities, where the healthier individuals rent the top floors like regular apartments, with benefits of living there like cafeterias, etc. As the need more help, according to the rules of the place.