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Assisted Living Regulations and Licensing

Since senior living is largely regulated on a state level, ALFA is committed to educating senior living and assisted living communities and businesses throughout the country of the regulations and licensing requirements in their state. ALFA monitors the current assisted living statutes in each state and maintains the contact information of each licensing organization, to ensure providers can easily access information to comply with local laws and provide quality care to their residents.

The following resources are available to help you learn more about assisted living in your state. Explore information related to:  

  • State Regulations A list of each state's assisted living regulations including contact information for each state's agency responsible for regulating assisted living (scroll down to see below). 
  • Voter ID Requirements For Seniors A list of state requirements relating to voter identification.
  • ALFA's State Affiliates Contact information for each ALFA state affiliate and chapter.
  • ALFA In The States (Member Only Resource) A state by state look at laws and regulations, important legislation and proposed regulations, and other state specific resources such as: elder abuse reporting contacts, important news in your state, and information on the local government.
  •  

Member Resource: ALFA in the States 

assisted living map

Every time there is a change to state legislation or state regulation that may have an impact on your business, ALFA posts it online at ALFA in the States. ALFA in the States allows ALFA members to subscribe to the states in which they operate and get an email or RSS feed from ALFA every time there is a change. Through these pages, ALFA also provides a variety of other state specific resources including elder abuse reporting resources, information on local government, and state news.

 

State Regulatory Resources for Assisted Living Professionals

 

Alabama Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Public Health, Bureau of Health Provider Standards

Regulations: Regulations for Alabama Assisted Living Facilities

View the member only Alabama Senior Living state page for links to current regulations and legislation that may impact senior living in Alabama.




Alaska Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Health & Social Services, Division of Health Care Services

Regulations: Regulations for Alaska Assisted Living Homes

View the member only Alaska Senior Living state page for links to current regulations and legislation that may impact senior living in Alaska.




Arizona Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Arizona Department of Health Services, Division of Assurance and Licensure, Office of Assisted Living Licensure

Regulations: Regulations for Arizona Assisted Living Facilities

View the member only Arizona Senior Living state page for links to current regulations and legislation that may impact senior living in Arizona.




Arkansas Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Health and Human Services, Office of Long Term Care

Regulations: 

View the member only Arkansas Senior Living state page for links to current regulations and legislation that may impact senior living in Arkansas.




California Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Social Services, Community Care Licensing Division

Regulations:

View the member only California Senior Living state page for links to current regulations and legislation that may impact senior living in California.




Colorado Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division

Regulations: Regulations for Assisted Living Residences

View the member only Colorado Senior Living state page for links to current regulations and legislation that may impact senior living in Colorado.




Connecticut Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Public Health, Facility Licensing & Investigations Section

Regulations: Regulations for Connecticut Assisted Living Facilities

View the member only Connecticut Senior Living state page for links to current regulations and legislation that may impact senior living in Connecticut.




Delaware Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Health & Social Services, Division of Long Term Care Residents Protection

Regulations: Delaware Regulations for Assisted Living Facilities 

View the member only Delaware Senior Living state page for links to current regulations and legislation that may impact senior living in Delaware.




District of Columbia Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Agency Health Regulation Administration Intermediate Care Facilities Division

Regulations: District of Columbia Regulations for Assisted Living Residences

View the member only District of Columbia Senior Living state page for links to current regulations and legislation that may impact  senior living in D.C.




Florida Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Agency for Health Care Administration, Bureau of Long Term Care Services

Regulations: Florida Assisted Living Regulations

View the member only Florida Senior Living state page for links to current regulations and legislation that may impact senior living in Florida.




Georgia Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Community Health, Healthcare Facility Regulation Division

Regulations:

 

View the member only Georgia Senior Living state page for links to current regulations and legislation that may impact senior living in Georgia.




Hawaii Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Health, Office of Health Care Assurance

Regulations: Regulations for Hawaii Assisted Living Facilities

View the member only Hawaii Senior Living state page for links to current regulations and legislation that may impact senior living in Hawaii.




Idaho Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Health and Welfare

Regulations: Regulations for Idaho Residential Care or Assisted Living Facilities

View the member only Idaho Senior Living state page for links to current regulations and legislation that may impact senior living in Idaho.




Illinois Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Public Health, Division of Assisted Living

Regulations:


View the member only Illinois Senior Living state page for links to current regulations and legislation that may impact senior living in Illinois.


Indiana Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Indiana State Department of Health, Division of Long Term Care (ISDH) Indiana Division of Aging (DA)

Regulations: Regulations for Indiana Health Facilities

View the member only Indiana Senior Living state page for links to current regulations and legislation that may impact senior living in Indiana.




Iowa Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Inspections and Appeals, Adult Services Bureau

Regulations:

View the member only Iowa Senior Living state page for links to current regulations and legislation that may impact senior living in Iowa.



Kansas Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department on Aging

Regulations: Statutes and Regulations for the Licensure and Operation of Assisted Living and Residential Health Care Facilities

View the member only Kansas Senior Living state page for links to current regulations and legislation that may impact senior living in Kansas.




Kentucky Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Cabinet for Health & Family Services, Department for Aging & Independent Living

Regulations: Regulations for Kentucky Assisted Living Communities

View the member only Kentucky Senior Living state page for links to current regulations and legislation that may impact senior living in Kentucky.




Louisiana Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Health and Hospitals

Regulations: Regulations for Adult Residential Care Facilities

View the member only Louisiana Senior Living state page for links to current regulations and legislation that may impact senior living in Louisiana.




Maine Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Maine Department of Health and Human Services, Division of Licensing and Regulatory Services

Regulations: Regulations for Maine Assisted Living Programs

View the member only Maine Senior Living state page for links to current regulations and legislation that may impact senior living in Maine.




Maryland Assisted Living Regulations:

State Agency Responsible for Regulating Assisted Living: Department of Health and Mental Hygiene, Office of Health Care Quality

Regulations: Regulations for Maryland Assisted Living Programs

View the member only Maryland Senior Living state page for links to current regulations and legislation that may impact senior living in Maryland.




    Massachusetts Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Executive Office of Elder Affairs

    Regulations:


    View the member only Massachusetts Senior Living state page for links to current regulations and legislation that may impact senior living in Massachusetts.




    Michigan Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Michigan Department of Human Services, Bureau of Children and Adult Licensing

    Regulations:

    View the member only Michigan Senior Living state page for links to current regulations and legislation that may impact senior living in Michigan.




    Minnesota Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Minnesota Department of Health

    Regulations: Regulations for Minnesota Assisted Living Services

    View the member only Minnesota Senior Living state page for links to current regulations and legislation that may impact senior living in Minnesota.




    Mississippi Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Bureau of Health Facilities Licensure and Certification

    Regulations: Regulations for Mississippi Personal Care Homes - Assisted Living

    View the member only Mississippi Senior Living state page for links to current regulations and legislation that may impact senior living in Mississippi.




    Missouri Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health and Senior Services, Division of Regulation and Licensure

    Regulations: Missouri Residential Care Facilities I and II Regulations

    View the member only Missouri Senior Living state page for links to current regulations and legislation that may impact senior living in Missouri.




    Montana Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Public Health and Human Services, Quality Assurance Division

    Regulations: Montana Minimum Standards for Assisted Living Facilities

    View the member only Montana Senior Living state page for links to current regulations and legislation that may impact  senior living in Montana.




    Nebraska Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Office of Long Term Care Facilities, Licensure Unit, Division of Public Health, Nebraska Department of Health and Human Services

    Regulations:
    Regulations for Nebraska Assisted Living Residences

    View the member only Nebraska Senior Living state page for links to current regulations and legislation that may impact senior living in Nebraska.




    Nevada Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Division of Health, Bureau of Health Care Quality and Compliance

    Regulations:
    Regulations for Nevada Residential Facilities for Groups

    View the member only Nevada Senior Living state page for links to current regulations and legislation that may impact senior living in Nevada.




    New Hampshire Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health and Human Services, Office of Operations Support, Health Facilities Administration

    Regulations: Certified Administrative Rules for New Hampshire Assisted Living Residences

    View the member only New Hampshire Senior Living state page for links to current regulations and legislation that may impact  senior living in New Hampshire.




    New Jersey Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health and Senior Services, Division of Health Facilities Evaluation and Licensing

    Regulations:
    Regulations for New Jersey Assisted Living Residences

    View the member only New Jersey Senior Living state page for links to current regulations and legislation that may impact senior living in New Jersey.




    New Mexico Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Health Facility Licensing and Certification Bureau

    Regulations: Regulations for New Mexico Assisted Living

    View the member only New Mexico Senior Living state page for links to current regulations and legislation that may impact senior living in New Mexico.




    New York Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health

    Regulations: Regulations for New York Assisted Living Residences

    View the member only New York Senior Living state page for links to current regulations and legislation that may impact senior living in New York.




    North Carolina Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health and Human Services, Adult Care Licensure Section

    Regulations:


    View the member only North Carolina Senior Living state page for links to current regulations and legislation that may impact senior living in North Carolina.




    North Dakota Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Division of Health Facilities for Basic Care Facilities

    Regulations:


    View the member only North Dakota Senior Living state page for links to current regulations and legislation that may impact senior living in North Dakota.




    Ohio Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health Division of Quality Assurance

    Regulations: Regulations for Ohio Residential Care Facilities (scroll down to Residential Care rules)

    View the member only Ohio Senior Living state page for links to current regulations and legislation that may impact senior living in Ohio.




    Oklahoma Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Protective Health Services

    Regulations: Regulations for Oklahoma Assisted Living Centers

    View the member only Oklahoma Senior Living state page for links to current regulations and legislation that may impact senior living in Oklahoma.




    Oregon Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Human Services, Seniors and People with Disabilities

    Regulations: Regulations for Oregon Residential Care and Assisted Living Facilities

    View the member only Oregon Senior Living state page for links to current regulations and legislation that may impact senior living in Oregon.




    Pennsylvania Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Office of Long-Term Living, Bureau of Provider Support, Division of Licensing

    Regulations:


    View the member only Pennsylvania Senior Living state page for links to current regulations and legislation that may impact senior living in Pennsylvania.




    Rhode Island Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health Facilities, Regulation Division

    Regulations:


    View the member only Rhode Island Senior Living state page for links to current regulations and legislation that may impact senior living in Rhode Island.




    South Carolina Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health and Environmental Control, Division of Health Licensing

    Regulations:
    Regulations for South Carolina Community Residential Care Facilities

    View the member only South Carolina Senior Living state page for links to current regulations and legislation that may impact senior living in South Carolina.




    South Dakota Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Office of Health Care Facilities Licensure and Certification

    Regulations:
    Regulations for South Dakota Assisted Living Centers

    View the member only South Dakota Senior Living state page for links to current regulations and legislation that may impact senior living in South Dakota.




    Tennessee Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Division of Health Care Facilities

    Regulations:
    Regulations for Tennessee Assisted-Care Living Facilities

    View the member only Tennessee Senior Living state page for links to current regulations and legislation that may impact senior living in Tennessee.




    Texas Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Aging and Disability Services

    Regulations:
    Regulations for Texas Assisted Living Facilities

    View the member only Texas Senior Living state page for links to current regulations and legislation that may impact senior living in Texas.




    Utah Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Facility Licensing, Certification and Resident Assessment

    Regulations: Regulations for Utah Assisted Living Facilities

    View the member only Utah Senior Living state page for links to current regulations and legislation that may impact senior living in Utah.




    Vermont Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Vermont Department of Disabilities, Aging, and Independent Living, Division of Licensing and Protection

    Regulations: Regulations for Vermont Assisted Living Facilities

    View the member only Vermont Senior Living state page for links to current regulations and legislation that may impact senior living in Vermont.




    Virginia Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Social Services, Division of Licensing Programs

    Regulations:


    View the member only Virginia Senior Living state page for links to current regulations and legislation that may impact senior living in Virginia.




    Washington Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Social and Health Services/Aging and Disability Services Administration

    Regulations: 
    Washington Assisted Living Facilities

    View the member only Washington Senior Living state page for links to current regulations and legislation that may impact senior living in Washington.




    West Virginia Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health and Human Resources, Bureau for Public Health, Office of Health Facilities Licensure and Certification

    Regulations: Regulations for West Virginia Assisted Living Residences

    View the member only West Virginia Senior Living state page for links to current regulations and legislation that may impact senior living in West Virginia.




    Wisconsin Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health and Family Services, Division of Quality Assurance, Assisted Living Bureau

    Regulations:


    View the member only Wisconsin Senior Living state page for links to current regulations and legislation that may impact senior living in Wisconsin.




    Wyoming Assisted Living Regulations:

    State Agency Responsible for Regulating Assisted Living: Department of Health, Office of Healthcare Licensing and Surveys

    Regulations:


    View the member only Wyoming Senior Living state page for links to current regulations and legislation that may impact senior living in Wyoming.
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