Assisted living facilities and Residential Care Facilities for the Elderly (RCFEs) are licensed for non-medical, custodial care — help with bathing, dressing, meals, and medication reminders. Nursing homes are licensed to provide clinical, medical treatment. When a San Francisco assisted living facility keeps a resident whose needs exceed custodial care, or attempts to provide treatment it isn’t licensed for, that mismatch is often where injuries and neglect begin.