Personal Care Home (PCH) / Assisted Living Residence (ALR)

Pennsylvania assisted living compliance

A practical guide for operators of personal care home (pch) / assisted living residence (alr) communities in Pennsylvania: who regulates you, what records you need to keep, and how to stay survey-ready every day.

Last reviewed: June 2026 General guidance, not legal advice

Who regulates assisted living in Pennsylvania

Pennsylvania Department of Human Services (DHS), Office of Long-Term Living

https://www.dhs.pa.gov/services/Assistance/Pages/Assisted-Living.aspx

Pennsylvania separates Personal Care Homes (PCH, Chapter 2600) from Assisted Living Residences (ALR, Chapter 2800) — the ALR license is newer and supports higher acuity and a "age in place" model.

DHS-licensed PCHs and ALRs in Pennsylvania: ~1,300

License types

  • Personal Care Home (PCH) — Chapter 2600 regulations.
  • Assisted Living Residence (ALR) — Chapter 2800, allows higher-acuity aging-in-place.
  • Both licenses can offer secure dementia-care units.

Records inspectors expect to see

  • Pre-admission and admission assessment
  • Service plan / support plan
  • Medication administration documentation
  • Resident rights acknowledgment
  • Incident and abuse reports
  • Staff training records (PCH or ALR curriculum)

Inspection cadence

DHS conducts annual unannounced inspections. ALRs receive additional regulatory scrutiny around aging-in-place criteria.

Top citation categories

  • Service plan not updated after a change in condition
  • Medication record errors
  • Staff training documentation gaps
  • Resident rights and admission-agreement issues
  • Physical plant deficiencies (fire safety, egress)

Pennsylvania-specific questions

How does Kinnwell handle Pennsylvania's separate PCH and ALR regulations?

Each license type has its own service-plan template, intake gates, and survey checklist. Operators with both can manage them under a single login with role-based access.

See Kinnwell with Pennsylvania-specific templates

We'll walk you through a survey-readiness checklist for Pennsylvania, set up your Personal Care Home (PCH) / Assisted Living Residence (ALR) workflow, and answer questions about your community's specific compliance posture.

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