Compliance
Assisted living regulations, state by state
Every US state regulates assisted living differently. We cover all 50 states (plus DC) here — with full guides for the states where Kinnwell sees the most operators. Use this as a starting point and always verify the latest rules with your state agency.
| State | Primary license category | Regulator | Guide |
|---|---|---|---|
| Alabama | Assisted Living Facility | Alabama Department of Public Health | Quick reference |
| Alaska | Assisted Living Home | Alaska DHSS, Division of Health Care Services | Quick reference |
| Arizona | Assisted Living Center / Home | Arizona DHS, Bureau of Residential Facilities Licensing | Read guide → |
| Arkansas | Assisted Living Facility (Levels I and II) | Arkansas Department of Human Services, OLTC | Quick reference |
| California | Residential Care Facility for the Elderly (RCFE) | California DSS, Community Care Licensing | Read guide → |
| Colorado | Assisted Living Residence | Colorado Department of Public Health and Environment | Quick reference |
| Connecticut | Managed Residential Community / Assisted Living Services Agency | Connecticut Department of Public Health | Quick reference |
| Delaware | Assisted Living Facility | Delaware Division of Health Care Quality | Quick reference |
| Florida | Assisted Living Facility (with ECC / LMH / LNS endorsements) | AHCA, Bureau of Long-Term Care Services | Read guide → |
| Georgia | Assisted Living Community / Personal Care Home | Georgia DCH, Healthcare Facility Regulation | Quick reference |
| Hawaii | Assisted Living Facility | Hawaii DOH, Office of Health Care Assurance | Quick reference |
| Idaho | Residential Assisted Living Facility | Idaho DHW, Residential Assisted Living Facility Program | Quick reference |
| Illinois | Assisted Living and Shared Housing Establishment | Illinois Department of Public Health | Quick reference |
| Indiana | Residential Care Facility | Indiana State Department of Health | Quick reference |
| Iowa | Assisted Living Program | Iowa Department of Inspections, Appeals, and Licensing | Quick reference |
| Kansas | Assisted Living Facility / Home Plus | Kansas Department for Aging and Disability Services | Quick reference |
| Kentucky | Assisted Living Community (certified, not licensed) | Kentucky Department for Aging and Independent Living | Quick reference |
| Louisiana | Adult Residential Care Provider | Louisiana Department of Health, Health Standards Section | Quick reference |
| Maine | Assisted Living Program / Residential Care Facility | Maine Department of Health and Human Services | Quick reference |
| Maryland | Assisted Living Program | Maryland Department of Health, Office of Health Care Quality | Quick reference |
| Massachusetts | Assisted Living Residence (certified, not medically licensed) | Massachusetts Executive Office of Elder Affairs | Quick reference |
| Michigan | Home for the Aged / Adult Foster Care | Michigan LARA, Bureau of Community and Health Systems | Quick reference |
| Minnesota | Assisted Living Facility / AL with Dementia Care | Minnesota Department of Health | Read guide → |
| Mississippi | Personal Care Home — Residential / Assisted Living | Mississippi State Department of Health | Quick reference |
| Missouri | Assisted Living Facility / Residential Care Facility | Missouri DHSS, Section for Long Term Care Regulation | Quick reference |
| Montana | Assisted Living Facility (Category A/B/C) | Montana DPHHS, Quality Assurance Division | Quick reference |
| Nebraska | Assisted-Living Facility | Nebraska DHHS, Division of Public Health | Quick reference |
| Nevada | Residential Facility for Groups | Nevada DHHS, Bureau of Health Care Quality and Compliance | Quick reference |
| New Hampshire | Assisted Living Residence — Residential Care / Supported Residential | NH DHHS, Health Facilities Administration | Quick reference |
| New Jersey | Assisted Living Residence / Comprehensive Personal Care Home | NJ Department of Health, Division of Health Facility Survey | Quick reference |
| New Mexico | Assisted Living Facility | New Mexico Department of Health, Division of Health Improvement | Quick reference |
| New York | Adult Care Facility / ALR / EALR / SNALR | NYSDOH, Division of Adult Care Facilities and Assisted Living Surveillance | Read guide → |
| North Carolina | Adult Care Home / Family Care Home | NC DHHS, Division of Health Service Regulation | Read guide → |
| North Dakota | Assisted Living Facility / Basic Care Facility | North Dakota Department of Human Services, Aging Services | Quick reference |
| Ohio | Residential Care Facility | Ohio Department of Health, Bureau of Long-Term Care Quality | Read guide → |
| Oklahoma | Assisted Living Center | Oklahoma State Department of Health | Quick reference |
| Oregon | Assisted Living Facility / Residential Care Facility | Oregon DHS, Aging and People with Disabilities | Quick reference |
| Pennsylvania | Personal Care Home / Assisted Living Residence | Pennsylvania DHS, Office of Long-Term Living | Read guide → |
| Rhode Island | Assisted Living Residence | Rhode Island DOH, Center for Health Facilities Regulation | Quick reference |
| South Carolina | Community Residential Care Facility | SC DHEC, Bureau of Health Facilities Licensing | Quick reference |
| South Dakota | Assisted Living Center | South Dakota DOH, Office of Health Care Facilities Licensure | Quick reference |
| Tennessee | Assisted Care Living Facility | Tennessee Department of Health, Board for Licensing Health Care Facilities | Quick reference |
| Texas | Assisted Living Facility (Type A or Type B) | Texas HHSC, Long-Term Care Regulatory | Read guide → |
| Utah | Assisted Living Facility (Type I or Type II) | Utah Department of Health and Human Services | Quick reference |
| Vermont | Residential Care Home / Assisted Living Residence | Vermont Department of Aging and Independent Living | Quick reference |
| Virginia | Assisted Living Facility | Virginia Department of Social Services | Quick reference |
| Washington | Assisted Living Facility | Washington DSHS, Aging and Long-Term Support Administration | Quick reference |
| West Virginia | Assisted Living Residence | West Virginia DHHR, Office of Health Facility Licensure and Certification | Quick reference |
| Wisconsin | CBRF / RCAC / Adult Family Home | Wisconsin DHS, Division of Quality Assurance | Read guide → |
| Wyoming | Assisted Living Facility | Wyoming Department of Health, Healthcare Licensing and Surveys | Quick reference |
| District of Columbia | Assisted Living Residence | DC Department of Health, Health Regulation and Licensing Administration | Quick reference |
Don't see your state covered in depth?
Tell us where you operate and we'll put a guide together. Most state-specific Kinnwell deployments include a compliance walkthrough as part of onboarding.
Request your state