BAMSI operates approximately 30 residential homes for individuals with developmental disabilities. Three to five individuals live in a home. Each person has his/her own room and shares bathrooms and other common areas. Staff members provide support in the areas of personal care, personal finance, transportation to medical appointments, and other types of support. Staff members engage people in a variety of stimulating activities to build cognitive, physical, and social skills. Individuals are encouraged to take pride in where they live and become active members of their communities.

Numerous homes have 24-hour Licensed Practical Nurses who assist with medication administration, medical treatments, medical appointments, and other care for individuals who are more medically involved. All homes have a Registered Nurse available for consultation.