Skip Ribbon Commands
Skip to main content
News Releases >>
30 Percent of States Actively Changed Assisted Living Regulations in 2011  
30 Percent of States Actively Changed Assisted Living Regulations in 2011
NCAL Report Finds States Refining Licensure Systems, Increasing Worker Training
Lisa Gelhaus
(202) 898-2825


Washington, DC: The National Center for Assisted Living (NCAL) today released the 2012 edition of “Assisted Living State Regulatory Review” finding that 16 states made changes to assisted living regulations, statutes, and policies during 2011.

 “Four states—Georgia, Nevada, North Carolina, and South Dakota—made major changes. In addition, Florida and several other states are considering major changes for 2012,” said Karl Polzer, NCAL’s senior policy director and the report’s author. “As in previous years, this year’s report found many states actively refining and developing assisted living regulations.”

 The report is published every March. It is the only annual resource that summarizes state assisted living regulations across 21 categories which include life safety, physical plant requirements, medication management, and move-in/move-out criteria.

 The report also found that six states added or revised education and training requirements. For instance, Washington began requiring most new direct care workers take 75 hours of training within 120 days of being hired and then become certified as home care aides within 150 days.

 Several states reported changes to Medicaid that impact assisted living residents. Other focal points of state regulatory changes include disclosure of information to consumers, infection control, discharge/transfer between sites, move-in and move-out criteria, as well as medication management.

 “State regulators eagerly await the report so they can see what other states have developed and what are the trends,” says David Kyllo, NCAL’s executive director. “NCAL is proud to provide this unique and free resource to consumers, regulators, legislators, assisted living professionals, aging organizations, and researchers.”

 The 241-page report offers an easy-to-read summary of assisted living regulations in the 50 states and the District of Columbia. The report also provides contact information for state agencies that oversee assisted living; and includes each agency’s Web site address. The report along with an analysis of trends and state-by-state highlights is available on

 Note: Karl Polzer, author of “Assisted Living Regulatory Review” is available for interviews.


 The National Center for Assisted Living (NCAL) represents more than 3,500 not-for-profit and proprietary assisted living and residential care communities dedicated to improving lives by delivering solutions for quality care for seniors and individuals with disabilities. NCAL is the assisted living voice of the American Health Care Association.