Assisted Living State Regulatory Review
NCAL's 2008 Assisted Living State Regulatory Review
Published in March 2008, this 230-page report offers a state-by-state summary of assisted living regulations covering 21 categories; provides contact information for state agencies that oversee assisted living activities; and includes each agency’s Web site address. In 2007, more than 20 states made regulatory and/or legislative changes impacting assisted living residents and facilities. NCAL members can download a summary of regulatory changes in 2007 and state-by-state highlights (PDF).
- Twelve states made major changes to their assisted living regulations in 2007 – many more than in each of the previous two years.
- As in 2006, three states implemented new levels of licensure in part to accommodate increased resident acuity. In 2007, Pennsylvania and the District of Columbia established new “assisted living” licensure alongside existing licensure categories, while Wyoming added new rules allowing secure dementia units under a tiered licensing system. Other states continued refining multi-tiered licensing systems.
- States continued developing standards for Alzheimer’s/dementia populations and adding disclosure requirements.
- Several states established or tightened criminal background check requirements, made changes to fire safety/emergency preparedness standards, and changed rules concerning food safety and dietary issues.
Other areas in which state assisted living regulations changed include staff training, medication management, reporting/record keeping, staffing, infection control, survey procedures, licensure fees, requirements when closing or expanding operations, resident rights, dispute resolution procedures, move-in/move-out requirements, and resident assessments. In 2007, at least two of the few remaining states without Medicaid coverage for assisted living services took steps toward including such coverage under Medicaid waivers.
Click on the link below to download the .pdf file (832 KB). To obtain a printed copy, call (202) 898-2855 or send an e-mail to myates@ncal.org and be sure to include your name, address, and phone number.
Please Note: If you do not have Acrobat installed on your system, download a free copy of Adobe Acrobat to read the Regulatory Review.