State Regulations

​​​​​​​​​​​​​​​​​​​​​​​​​​​​States establish and enforce licensing and certification requirements for assisted living communities, as well as requirements for assisted living executive directors. While some federal rules and regulations may apply to assisted living communities, state-level regulation of assisted living services and operations ensures a coordinated, comprehensive licensure system because the state can take into account its full range of housing and service programs available to seniors and people with intellectual or developmental disabilities.

Furthermore, different state philosophies regarding the role of assisted living in the long term care spectrum enable providers to innovate and test new models of housing plus services that are responsive to local consumer demands.

 NCAL's State Regulatory Review

​​Each year, NCAL publishes the "Assisted Living State Reg​ulatory Review," to summarize key selected state requirements for assisted living licensure or certification. For every state and the District of Columbia, this report includes information on topics such as which state agency licenses assisted living, recent legislative and regulatory updates affecting assisted living, and requirements for resident agreements, admission and discharge requirements, units serving people with Alzheimer’s or dementia, staffing, and training.

States use several different terms to refer to assisted living, such as residential care and shared housing. This report includes requirements for those types of communities that offer seniors housing, supportive services, personalized assistance with ADLs, and some level of health care.​


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 Latest Report (2019)

More than half of states reported changes between June 2018 and June 2019 that will affect assisted living communities.

2019 State AL Regulatory Summaries


  
  
Alabama.pdfAlabama
Alaska.pdfAlaska
Arizona.pdfArizona
Arkansas.pdfArkansas
California.pdfCalifornia
Colorado.pdfColorado
Connecticut.pdfConnecticut
Delaware.pdfDelaware
District of Columbia.pdfDistrict of Columbia
Florida.pdfFlorida
Georgia.pdfGeorgia
Hawaii.pdfHawaii
Idaho.pdfIdaho
Illinois.pdfIllinois
Indiana.pdfIndiana
Iowa.pdfIowa
Kansas.pdfKansas
Kentucky.pdfKentucky
Louisiana.pdfLouisiana
  
  
Kansas.pdfKansas
Kentucky.pdfKentucky
Louisiana.pdfLouisiana
Maine.pdfMaine
Maryland.pdfMaryland
Massachusetts.pdfMassachusetts
Michigan.pdfMichigan
Minnesota.pdfMinnesota
Mississippi.pdfMississippi
Missouri.pdfMissouri
Montana.pdfMontana
Nebraska.pdfNebraska
Nevada.pdfNevada
New Hampshire.pdfNew Hampshire
New Jersey.pdfNew Jersey
New Mexico.pdfNew Mexico
New York.pdfNew York
North Carolina.pdfNorth Carolina
North Dakota.pdfNorth Dakota
  
  
Ohio.pdfOhio
Oklahoma.pdfOklahoma
Oregon.pdfOregon
Pennsylvania.pdfPennsylvania
Rhode Island.pdfRhode Island
South Carolina.pdfSouth Carolina
South Dakota.pdfSouth Dakota
Tennessee.pdfTennessee
Texas.pdfTexas
Utah.pdfUtah
Vermont.pdfVermont
Virginia.pdfVirginia
Washington.pdfWashington
West Virginia.pdfWest Virginia
Wisconsin.pdfWisconsin
Wyoming.pdfWyoming