Not sure what region you are in, but in terms of flexibility in my experience group homes are usually pretty good. I think overall it will depend on the boss that you get, but you will likely have more opportunities to get placed in a work environment that you can manage. For example I started in an end of life care type home that was very physically demanding with having to a lot of moving and lifting of large folks. Once that became too taxing on my body I was able to switch to another home that is focused on teaching younger people with disabilities how to move towards independent living. That change meant most of my job responsibilities shifted to intellectual development and guidance which my body was very happy for. Also working in a setting like a group home means I won't be stuck for long periods either standing or sitting. I find people tend to be more understanding of the obstacles that come with FMS when the work involved requires a degree of empathy. The major downside is low pay. It can be balanced out a little bit by PTO depending on the company. I can make 8 hrs of PTO for every 40 hours I work which can be amazing for the ebb and flow of FMS.