Licensing an Assisted Living Business
Senior housing consists of several subcategories or asset classes, most of which require licensing at the state level. Assisted Living, Memory Care, and Skilled Nursing almost always require a license provided by the state in which they operate. Independent Living requirements can vary from state to state. It is extremely important to understand the licensing requirements of any state you are contemplating operating in.
The licensing and operation requirements vary vastly from state to state. In some states, the process is simple, unlimited, and presents few hurdles, while in other states the requirements are much more onerous. Some states even regulate the number of total licenses allowed. These states are called Certificate of Need (CON) states. Understanding the licensing and operational regulations of your state is a critical step in the acquisition process.
Below are the links to each state’s Senior Housing Regulatory Website. There you will find information and links regarding licensing, educational requirements, and state guidelines for each facet of the senior housing business.
Alabama Assisted Living Regulations
http://www.adph.org/healthcarefacilities/
Alaska Assisted Living Regulations
http://dhss.alaska.gov/dhcs/Pages/cl/all/default.aspx
Arizona Assisted Living Regulations
http://azdhs.gov/licensing/residential-facilities/index.php
Arkansas Assisted Living Regulations
http://www.daas.ar.gov/assistedlivingchoices.html
California Assisted Living Regulations
http://www.ca.gov/Agencies/Social-Services-Department-of/Agency-Services/Find-Assisted-Living
Colorado Assisted Living Regulations
https://www.colorado.gov/pacific/cdphe/assisted-living-residences
Connecticut Assisted Living Regulations
http://www.ct.gov/dss/cwp/view.asp?a=2353&q=391114
Delaware Assisted Living Regulations
http://www.dhss.delaware.gov/dhss/dltcrp/licfac.html
Florida Assisted Living Regulations
http://elderaffairs.state.fl.us/doea/alf.php
Georgia Assisted Living Regulations
https://dch.georgia.gov/personal-care-homes
Hawaii Assisted Living Regulations
http://health.hawaii.gov/ohca/state-licensing-section/
Idaho Assisted Living Regulations
http://healthandwelfare.idaho.gov/Medical/LicensingCertification/StateOnlyPrograms/AssistedLiving/tabid/273/Default.aspx
Illinois Assisted Living Regulations
http://dph.illinois.gov/topics-services/health-care-regulation/assisted-living
Indiana Assisted Living Regulations
http://www.in.gov/isdh/20227.htm
Iowa Assisted Living Regulations
https://dia-hfd.iowa.gov/DIA_HFD/Home.do
Kansas Assisted Living Regulations
http://www.kdads.ks.gov/commissions/commission-on-aging/aging-and-disability-resource-centers/service-information/housing-and-long-term-care
Kentucky Assisted Living Regulations
http://chfs.ky.gov/os/oig/directories.htm
Louisiana Assisted Living Regulations
http://new.dhh.louisiana.gov/index.cfm/directory/detail/702
Maine Assisted Living Regulations
http://www.maine.gov/dhhs/long_term_care.shtml
Maryland Assisted Living Regulations
http://mhcc.maryland.gov/consumerinfo/longtermcare/assistedliving.aspx
Massachusetts Assisted Living Regulations
http://www.mass.gov/elders/housing/assisted-living/
Michigan Assisted Living Regulations
http://www.michigan.gov/lara/0,4601,7-154-63294_27717—,00.html
Minnesota Assisted Living Regulations
http://www.health.state.mn.us/divs/fpc/homecare/index.html
Mississippi Assisted Living Regulations
http://msdh.ms.gov/msdhsite/_static/30,0,83.html
Missouri Assisted Living Regulations
http://health.mo.gov/safety/showmelongtermcare/lvloflic.php
Montana Assisted Living Regulations
http://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBAssistedLivingFacility
Nebraska Assisted Living Regulations
http://dhhs.ne.gov/Pages/hcs_services_assisted-living.aspx
Nevada Assisted Living Regulations
http://dpbh.nv.gov/Reg/HealthFacilities/HF_-_Non-Medical/Residential_facility_for_groups_(adult_group_care/assisted_living)/
New Hampshire Assisted Living Regulations
http://www.dhhs.nh.gov/dcbcs/beas/housing.htm
New Jersey Assisted Living Regulations
http://www.state.nj.us/health/healthfacilities/about-us/facility-types/
New Mexico Assisted Living Regulations
https://nmhealth.org/about/dhi/hflc/
New York Assisted Living Regulations
https://www.health.ny.gov/facilities/assisted_living/
North Carolina Assisted Living Regulations
https://www2.ncdhhs.gov/dhsr/index.html
North Dakota Assisted Living Regulations
http://www.nd.gov/dhs/services/medicalserv/medicaid/assisted-living.html
Ohio Assisted Living Regulations
https://www.ltc.ohio.gov/AssistedLiving.aspx
Oklahoma Assisted Living Regulations
https://www.ok.gov/health/Protective_Health/Health_Resources_Development_Service/Health_Facility_Systems_/index.html
Oregon Assisted Living Regulations
https://www.oregon.gov/DHS/providers-partners/licensing/cbc/Pages/index.aspx
Pennsylvania Assisted Living Regulations
http://www.dhs.pa.gov/publications/forproviders/assistedlivingresidenceforms/
Rhode Island Assisted Living Regulations
http://www.health.ri.gov/licenses/detail.php?id=213
South Carolina Assisted Living Regulations
http://www.scdhec.gov/Health/FHPF/HealthFacilityRegulationsLicensing/HealthcareFacilityLicensing/LicensedFacilitiesbyType/
South Dakota Assisted Living Regulations
https://dss.sd.gov/asa/services/assistedliving/
Tennessee Assisted Living Regulations
https://www.tn.gov/aging/topic/assisted-living-or-nursing-home
Texas Assisted Living Regulations
https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/assisted-living-facilities-alf
Utah Assisted Living Regulations
http://health.utah.gov/hflcra/facinfo.php
Vermont Assisted Living Regulations
http://www.cvcoa.org/assisted-living.html
Virginia Assisted Living Regulations
https://www.dss.virginia.gov/facility/alf.cgi
Washington Assisted Living Regulations
https://www.dshs.wa.gov/altsa/residential-care-services/long-term-care-residential-options
West Virginia Assisted Living Regulations
https://ohflac.wv.gov/Programs/AL.html
Wisconsin Assisted Living Regulations
https://www.dhs.wisconsin.gov/guide/assisted-living.htm
Wyoming Assisted Living Regulations
https://health.wyo.gov/aging/hls/facility-types/assisted-living-facility-wyoming-licensure-information/
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