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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 Regulatory 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.
 

 2018 State Reg Review - State Summaries

 
  
  
  
Alabama.pdf
  
610 KB
Alaska.pdf
  
604 KB
Arizona.pdf
  
606 KB
Arkansas.pdf
  
609 KB
California.pdf
  
619 KB
Colorado.pdf
  
615 KB
Connecticut.pdf
  
608 KB
Delaware.pdf
  
611 KB
District of Columbia.pdf
  
616 KB
Florida.pdf
  
617 KB
Georgia.pdf
  
615 KB
Hawaii.pdf
  
602 KB
Idaho.pdf
  
619 KB
Illinois.pdf
  
613 KB
Indiana.pdf
  
612 KB
Iowa.pdf
  
618 KB
Kansas.pdf
  
609 KB
Kentucky.pdf
  
602 KB
Louisiana.pdf
  
613 KB
Maine.pdf
  
606 KB
Maryland.pdf
  
617 KB
Massachusetts.pdf
  
614 KB
Michigan.pdf
  
617 KB
Minnesota.pdf
  
614 KB
Mississippi.pdf
  
608 KB
Missouri.pdf
  
632 KB
Montana.pdf
  
615 KB
Nebraska.pdf
  
613 KB
Nevada.pdf
  
605 KB
New Hampshire.pdf
  
613 KB
New Jersey.pdf
  
609 KB
New Mexico.pdf
  
605 KB
New York.pdf
  
622 KB
North Carolina.pdf
  
618 KB
North Dakota.pdf
  
615 KB
Ohio.pdf
  
613 KB
Oklahoma.pdf
  
613 KB
Oregon.pdf
  
627 KB
Pennsylvania.pdf
  
639 KB
Rhode Island.pdf
  
623 KB
South Carolina.pdf
  
608 KB
South Dakota.pdf
  
611 KB
Tennessee.pdf
  
616 KB
Texas.pdf
  
609 KB
Utah.pdf
  
609 KB
Vermont.pdf
  
607 KB
Virginia.pdf
  
627 KB
Washington.pdf
  
614 KB
West Virginia.pdf
  
611 KB
Wisconsin.pdf
  
626 KB
Wyoming.pdf
  
609 KB
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