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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.
 

 2017 State Reg Review - State Summaries

 
  
  
  
Alabama.pdf
  
657 KB
Alaska.pdf
  
169 KB
Arizona.pdf
  
173 KB
Arkansas.pdf
  
178 KB
California.pdf
  
182 KB
Colorado.pdf
  
173 KB
Connecticut.pdf
  
169 KB
Delaware.pdf
  
172 KB
District of Columbia.pdf
  
179 KB
Florida.pdf
  
174 KB
Georgia.pdf
  
175 KB
Hawaii.pdf
  
165 KB
Idaho.pdf
  
179 KB
Illinois.pdf
  
174 KB
Indiana.pdf
  
174 KB
Iowa.pdf
  
180 KB
Kansas.pdf
  
172 KB
Kentucky.pdf
  
164 KB
Louisiana.pdf
  
176 KB
Maine.pdf
  
169 KB
Maryland.pdf
  
179 KB
Massachusetts.pdf
  
173 KB
Michigan.pdf
  
178 KB
Minnesota.pdf
  
175 KB
Mississippi.pdf
  
169 KB
Missouri.pdf
  
192 KB
Montana.pdf
  
177 KB
Nebraska.pdf
  
173 KB
Nevada.pdf
  
168 KB
New Hampshire.pdf
  
175 KB
New Jersey.pdf
  
171 KB
New Mexico.pdf
  
167 KB
New York.pdf
  
182 KB
North Carolina.pdf
  
181 KB
North Dakota.pdf
  
175 KB
Ohio.pdf
  
187 KB
Oklahoma.pdf
  
173 KB
Oregon.pdf
  
189 KB
Pennsylvania.pdf
  
203 KB
Rhode Island.pdf
  
202 KB
South Carolina.pdf
  
171 KB
South Dakota.pdf
  
192 KB
Tennessee.pdf
  
188 KB
Texas.pdf
  
169 KB
Utah.pdf
  
171 KB
Vermont.pdf
  
170 KB
Virginia.pdf
  
198 KB
Washington.pdf
  
175 KB
West Virginia.pdf
  
173 KB
Wisconsin.pdf
  
187 KB
Wyoming.pdf
  
191 KB
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