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Assisted living facility licensing by state

Housing with personal care and supervision for adults, licensed in every state

Every state and the District of Columbia licenses housing with personal care for adults, but no two do it in quite the same way, and a few do not use the term assisted living at all. The license is triggered by a combination of three things: you provide housing, you provide personal care or supervision, and you do it for a number of unrelated adults that the state sets. Below that number, many states do not regulate you at all. Above it, you need a license before the first resident moves in.

The resident count that triggers a license

Check the threshold first: it decides whether a small project is a licensed facility or an unregulated arrangement. Florida and Minnesota license from one unrelated adult, and South Dakota and Wyoming set no minimum in their definitions. Maryland, New Mexico, Utah and North Carolina start at two. Colorado, Idaho, Massachusetts and Missouri start at three, while Texas, Virginia, Pennsylvania and Nebraska start at four, and Kentucky and New York at five. Washington starts at seven, because homes for two to six residents are licensed separately as adult family homes.

Many names for the same business

Assisted living is often not called assisted living. California licenses a Residential Care Facility for the Elderly, South Carolina a Community Residential Care Facility, Indiana a Residential Care Facility, Tennessee an Assisted-Care Living Facility and Nevada a Residential Facility for Groups. Michigan has no license with that name at all: depending on the care they give, operators hold a Home for the Aged or an Adult Foster Care license. In Georgia, an “assisted living community” is a personal care home serving 25 or more residents that holds a separate permit to give a higher level of care. Search for the official name, not the generic term.

One license or several

California, Colorado, Texas and Utah use one license from a family-sized home to a large building and adjust the rules by size. Others give small homes their own license: Florida’s adult family-care home, Washington’s adult family home, Oregon’s adult foster home and North Carolina’s family care home each have their own rules, bed limits and fees. A few states stack licenses. New York requires an Adult Care Facility certificate and, on top of it, an Assisted Living Residence license if you want to operate as assisted living, and Pennsylvania separates personal care homes from assisted living residences, with very different fees. Connecticut licenses the service rather than the building: an Assisted Living Services Agency delivers care inside a managed residential community.

Where you may not be able to open

Arkansas has frozen new Residential Care Facility beds since 2005 and requires a Permit of Approval for assisted living, New Jersey requires a certificate of need for new assisted living residences, and North Carolina requires one for adult care homes of seven or more beds. Oregon requires a market analysis before you apply for a building permit. Check for these before you buy land or sign a lease.

Memory care is becoming its own license

Several states now license dementia care separately. Minnesota issues an Assisted Living Facility with Dementia Care license, and Florida passed a memory care services license in May 2026 that will be required once AHCA adopts its rules. Once Florida’s license is in force, a facility without it may not use terms such as “memory care” or “dementia care” in its advertising.

Across the 50 states and DC

What each state requires to operate, at our last review

51 of 51
License required
Guides
52 below

Assisted living facility rules in every state

All states
Assisted living facility licensing in each state: requirement, official license name, agency and size threshold
Alabama License required Assisted Living Facility license (Specialty Care Assisted Living Facility license for cognitive impairment) Alabama Department of Public Health (ADPH), Bureau of Health Provider Standards 3+ adults needing help with daily living; 3-16 group, 17+ congregate
Alaska License required Assisted Living Home license Alaska Department of Health, Division of Health Care Services, Health Facilities Licensing and Certification 3+ unrelated adults, or any number if state or federal funds pay
Arizona License required Assisted Living Facility license (assisted living home or assisted living center) Arizona Department of Health Services (ADHS), Bureau of Assisted Living Facilities Licensing Assisted living home: 10 or fewer residents; center: 11 or more
Arkansas License required Assisted Living Facility (ALF) license, Level I or Level II Arkansas Department of Human Services, Division of Provider Services and Quality Assurance (DPSQA) More than 3 unrelated adult residents given assisted living services
California License required Residential Care Facility for the Elderly (RCFE) license California Department of Social Services (CDSS), Community Care Licensing Division, Adult and Senior Care Program (Senior Care Licensing) People 60+ needing care or supervision; no minimum size
Colorado License required Assisted Living Residence (ALR) license Colorado Department of Public Health and Environment (CDPHE), Health Facilities and Emergency Medical Services Division 3 or more adults not related to the owner, with room, board and care
Connecticut License required Assisted Living Services Agency (ALSA) license Department of Public Health (DPH), Facility Licensing and Investigations Section Licenses the services agency, not the building; housing is a managed community
Delaware License required Assisted Living Facility license Delaware Department of Health and Social Services (DHSS), Division of Health Care Quality (DHCQ) Any facility holding itself out as assisted living; licensed per bed
District of Columbia License required Assisted Living Residence (ALR) license DC Department of Health (DC Health), Health Care Facilities Division Housing plus personal help for unrelated adults; no resident minimum
Florida License required Assisted Living Facility (ALF) license Agency for Health Care Administration (AHCA) 1 or more unrelated adults given housing and a personal service
Georgia License required Assisted Living Community permit Department of Community Health, Healthcare Facility Regulation Division (HFRD) 25+ residents offering a higher level of care
Hawaii License required Assisted Living Facility (ALF) license Department of Health (DOH), Office of Health Care Assurance (OHCA) Building of private apartment units (220+ sq ft) with meals and 24-hour staff
Idaho License required Residential Assisted Living Facility (RALF) license Idaho Department of Health and Welfare, Residential Assisted Living Facilities Program 3 or more unrelated adults given supervision, care, meals and lodging
Illinois License required Assisted Living Establishment license Illinois Department of Public Health (IDPH), Division of Assisted Living Housing and services for 3+ unrelated adults, 80% age 55 or older
Indiana License required Residential Care Facility (health facility license) Indiana Department of Health (IDOH), Division of Long-Term Care No 'assisted living' license; Residential Care Facility license, no bed minimum
Iowa License required Assisted living program certification Iowa Department of Inspections, Appeals, and Licensing (DIAL), Health Facilities Division Housing with services for 3 or more tenants
Kansas License required Assisted Living Facility (adult care home license) Kansas Department for Aging and Disability Services (KDADS), Adult Care Home Licensure 6+ unrelated adults in apartments with 24/7 personal care
Kentucky License required Assisted Living Community License Cabinet for Health and Family Services (CHFS), Office of Inspector General, Division of Health Care 5+ adults unrelated to the owner or manager; no certificate of need
Louisiana License required Adult Residential Care Provider (ARCP) License, Levels 1 to 4 Louisiana Department of Health (LDH), Health Standards Section 2 or more unrelated adults; Levels 1-4 by size and setting
Maine License required Assisted Living Facility License Maine DHHS, Division of Licensing and Certification (DLC), Assisted Housing Program Assisted living services to unrelated adults in private apartments
Maryland License required Assisted Living Program License Maryland Department of Health (MDH), Office of Health Care Quality (OHCQ) Housing and care services for 2 or more residents; license sets beds and level
Massachusetts License required Assisted Living Residence (ALR) certification Executive Office of Aging & Independence (AGE) Housing plus daily-living help for 3 or more unrelated adults
Michigan License required Home for the Aged (HFA) license Department of Licensing and Regulatory Affairs (LARA), Bureau of Community and Health Systems, Long Term Care 21+ unrelated adults aged 55+ with room, board and personal care
Minnesota License required Assisted Living Facility License (with or without dementia care) Minnesota Department of Health (MDH), Health Regulation Division Housing plus assisted living services for 1 or more adults
Mississippi License required Personal Care Home - Assisted Living license Mississippi State Department of Health, Health Facilities Licensure and Certification Any 24/7 home or facility taking residents needing assisted living; no minimum
Missouri License required Assisted Living Facility (ALF) license Missouri Department of Health and Senior Services (DHSS), Section for Long-Term Care Regulation 24-hour care and oversight for 3 or more residents; CON if required
Montana License required Assisted Living Facility license Montana DPHHS, Office of Inspector General, Licensure Bureau Group residence with personal care and 24-hour supervision; no minimum
Nebraska License required Assisted Living Facility (ALF) license Nebraska DHHS, Licensure Unit, Health Care Facilities Licensing Assisted living services for 4 or more residents unrelated to owner
Nevada License required Residential Facility for Groups (RFG) license (includes assisted living facilities) Nevada Health Authority, Health Care Purchasing and Compliance Division (HCQC) 3+ aged, infirm or disabled residents given food, shelter and assistance
New Hampshire License required Assisted Living Residence - Residential Care (ALR-RC) license; Supported Residential Health Care license Department of Health and Human Services (DHHS), Health Facilities Administration, Health Facilities Licensing Unit Services beyond room and board to 2 or more residents
New Jersey License required Assisted Living Residence license Department of Health (DOH), Certificate of Need and Licensing Division Apartment-style housing, meals and care; certificate of need required
New Mexico License required Assisted Living Facility license New Mexico Health Care Authority (HCA), Division of Health Improvement 2 or more adults needing help with daily living; no minimum beyond that
New York License required Adult care facility operating certificate (adult home, enriched housing program or residence for adults), plus an assisted living residence license to call it assisted living Department of Health (DOH) 5+ unrelated adults; "assisted living" name needs an ALR license
North Carolina License required Adult Care Home License (assisted living residence with 7 or more beds) NC DHHS, Division of Health Service Regulation (DHSR), Adult Care Licensure Section Adult care home with 7+ beds; certificate of need required for new beds
North Dakota License required Assisted living facility license (basic care facility license for 24-hour care and memory care) North Dakota HHS, Health Response and Licensure Section, plus Food and Lodging Building with 5+ living units serving 5 or more unrelated residents
Ohio License required Residential Care Facility license Ohio Department of Health (ODH) 17+ unrelated people with personal care for 3+; or 3+ with nursing for 1
Oklahoma License required Assisted Living Center license Oklahoma State Department of Health (OSDH), Protective Health Services, Health Facility Systems 2 or more unrelated residents needing personal care or nursing supervision
Oregon License required Assisted Living Facility (ALF) license; Residential Care Facility (RCF) license Oregon Department of Human Services (ODHS), Aging and People with Disabilities, Safety, Oversight and Quality - Community-Based Care Licensing 6 or more residents; ALF private units, RCF shared or private units
Pennsylvania License required Personal Care Home license or Assisted Living Residence license Department of Human Services, Office of Long-Term Living, Bureau of Human Services Licensing 4+ unrelated adults; personal care home or ALR license
Rhode Island License required Assisted Living Residence license Rhode Island Department of Health (RIDOH), Center for Health Facilities Regulation 6 or more unrelated adults given housing, meals and personal help
South Carolina License required Community Residential Care Facility (CRCF) license South Carolina Department of Public Health (DPH), Healthcare Quality 2 or more unrelated adults given room, board and personal care
South Dakota License required Assisted Living Center license Department of Health (DOH), Office of Health Facilities Licensure and Certification Any place giving personal care beyond food, shelter and laundry; no minimum
Tennessee License required Assisted-Care Living Facility (ACLF) license Tennessee Health Facilities Commission (HFC), Division of Licensure and Regulation Building housing mainly older adults for care; no minimum size set
Texas License required Assisted Living Facility license (Type A or Type B) Texas Health and Human Services Commission (HHSC), Long-term Care Regulation 4 or more unrelated residents given personal care
Utah License required Assisted Living Facility License (Type I or Type II) Utah Department of Health and Human Services (DHHS), Division of Licensing and Background Checks, Office of Licensing 2 or more unrelated residents; classes of 2-5, 6-16 and 17+
Vermont License required Assisted Living Residence (ALR) license Vermont Department of Disabilities, Aging and Independent Living (DAIL), Division of Licensing and Protection Units with private bed, bath and kitchen capacity; must meet Level III rules
Virginia License required Assisted Living Facility License Virginia Department of Social Services (VDSS), Division of Licensing Programs 4 or more adults needing care in a residential setting
Washington License required Assisted Living Facility License Department of Social and Health Services (DSHS), Residential Care Services Housing and care for 7 or more residents
West Virginia License required Assisted Living Residence license West Virginia Office of Inspector General, Office of Health Facility Licensure and Certification (OHFLAC) 4 or more residents needing personal help or supervision
Wisconsin License required Community-Based Residential Facility (CBRF) license Department of Health Services (DHS), Division of Quality Assurance, Bureau of Assisted Living 5 or more unrelated adults; up to 3 hours of nursing a week
Wyoming License required Assisted living facility license Wyoming Department of Health, Healthcare Licensing and Surveys (HLS) Dwelling giving limited nursing, personal and boarding care to unrelated adults

License names link to our guide where we have one, otherwise to the agency’s own page. Agency names and size thresholds are shortened here; state hubs give them in full.

Assisted living facility guides

All guides

  1. Alabama assisted living facility license: ADPH rules, fees and steps

    How ADPH licenses Alabama assisted living: group vs congregate classes, the 3-bed minimum, admission limits, administrator licensing and the $240 + $18 per bed fee.

    Alabama · Assisted living facilityUpdated

  2. Alaska assisted living home license: Residential Licensing rules, fees and steps

    How Alaska licenses assisted living homes: the three-resident line, Anchorage change-of-use permit, administrator tiers, fees and the probationary license.

    Alaska · Assisted living facilityUpdated

  3. Arizona assisted living facility license: homes, centers and ADHS steps

    How the Arizona Department of Health Services (ADHS) licenses assisted living homes, centers and adult foster care: care levels, manager certificate, fees, timelines.

    Arizona · Assisted living facilityUpdated

  4. Florida assisted living facility license: AHCA rules, fees and steps

    How AHCA licenses Florida assisted living facilities: who needs a license, chapter 419 zoning, administrator core training, emergency power, fees and specialty licenses.

    Florida · Assisted living facilityUpdated

  5. Minnesota assisted living facility license: MDH rules, fees and steps

    How MDH licenses Minnesota assisted living facilities under chapter 144G: the provisional license, 2026 siting rules for six or fewer, dementia care, fees and staffing.

    Minnesota · Assisted living facilityUpdated

  6. Pennsylvania personal care home license: Chapter 2600 rules and the DHS process

    Pennsylvania personal care home licensing: the four-resident threshold, PCH vs assisted living residence, administrator training, staffing and fees.

    Pennsylvania · Assisted living facilityUpdated

  7. Rhode Island assisted living residence license: RIDOH levels, fees and steps

    How RIDOH licenses Rhode Island assisted living residences: the six-resident threshold, F1/F2 and M1/M2 levels, dementia and limited health endorsements, and fees.

    Rhode Island · Assisted living facilityUpdated

  8. South Carolina community residential care facility (CRCF) license: DPH rules and steps

    How South Carolina DPH licenses CRCFs, its assisted living license: the 2-resident trigger, the administrator license, staffing ratios, plan review and fees.

    South Carolina · Assisted living facilityUpdated

  9. Texas assisted living facility license: Type A, Type B and small homes

    How HHSC licenses Texas assisted living facilities, from 4-bed homes to large buildings: Type A vs B, small-facility rules, fees, surveys and memory care.

    Texas · Assisted living facilityUpdated

  10. Wisconsin CBRF license: opening a community-based residential facility

    How Wisconsin DHS licenses community-based residential facilities (CBRFs): size and class, plan review, zoning, administrator rules, training, fees and portal steps.

    Wisconsin · Assisted living facilityUpdated

  11. Arkansas assisted living facility license: Permit of Approval, Level I and Level II

    How Arkansas licenses assisted living: the bed-need Permit of Approval, Level I vs Level II, OLTC fees, apartment rules, staffing tables and the Living Choices waiver.

    Arkansas · Assisted living facilityReviewed

  12. California RCFE license: six-bed homes, large facilities, CDSS steps and fees

    How CDSS licenses California residential care facilities for the elderly, from six-bed homes to large buildings: certification, zoning, fire clearance, staffing, fees.

    California · Assisted living facilityReviewed

  13. Colorado assisted living residence license: CDPHE steps, fees and rules

    How CDPHE licenses Colorado assisted living residences from three residents up: the letter of intent, fire and FGI review, bed-based fees, administrator and staff rules.

    Colorado · Assisted living facilityReviewed

  14. Connecticut assisted living services agency (ALSA) license: DPH rules and steps

    How Connecticut licenses assisted living through an ALSA serving a managed residential community: core services, RN supervisor rules, the $500 fee and 2026 law changes.

    Connecticut · Assisted living facilityReviewed

  15. Delaware assisted living facility license: DHCQ rules, staffing tiers and fees

    How Delaware licenses assisted living facilities under 16 DE Admin. Code 3225: bed-based staffing tiers, fee caps, the application package and 2026-2027 law changes.

    Delaware · Assisted living facilityReviewed

  16. DC assisted living residence license: DC Health rules, fees and steps

    How DC Health licenses assisted living residences: who needs an ALR license, the licensed administrator, building and insurance minimums, fees and Medicaid waiver rules.

    District of Columbia · Assisted living facilityReviewed

  17. Georgia assisted living community permit: the 25-bed, medication-aide tier

    When a Georgia care home needs an assisted living community permit rather than a personal care home permit: medication aides, fire code, CON letter, staffing, fees.

    Georgia · Assisted living facilityReviewed

  18. Hawaii assisted living facility license: the OHCA apartment-model rules

    How Hawaii licenses assisted living facilities under HAR 11-90: 220 sq ft apartments, administrator rules, county approvals, the $1,000 fee and QUEST Integration.

    Hawaii · Assisted living facilityReviewed

  19. Idaho residential assisted living facility (RALF) license: rules, steps and fees

    How Idaho licenses residential assisted living facilities: the three-resident threshold, FLARES application, licensed administrator, staffing and 2026 rule changes.

    Idaho · Assisted living facilityReviewed

  20. Illinois assisted living establishment license: IDPH rules, fees and steps

    How IDPH licenses Illinois assisted living: the 3-resident, 80%-age-55 test, director rules, life safety survey, $2,000 + $20/unit fee, 120-day probationary license.

    Illinois · Assisted living facilityReviewed

  21. Indiana residential care facility license: the state route to assisted living

    How IDOH licenses Indiana residential care facilities, the license behind assisted living: when it applies, plans review, fees, staffing, administrators and Medicaid.

    Indiana · Assisted living facilityReviewed

  22. Iowa assisted living program certification: DIAL rules, fees and steps

    How DIAL certifies Iowa assisted living programs under chapter 231C: the three-tenant trigger, state plan review, unit sizes, dementia rules, fees and the CARF route.

    Iowa · Assisted living facilityReviewed

  23. Kansas assisted living facility license: KDADS rules, fees and steps

    How KDADS licenses Kansas assisted living facilities: the 6-resident threshold, 200 sq ft apartments, operator or administrator, fees and the construction track.

    Kansas · Assisted living facilityReviewed

  24. Kentucky assisted living community license: OIG categories, fees and rules

    How Kentucky licenses assisted living communities under KRS 194A and 902 KAR 20:480: the three license levels, 200 sq ft units, per-unit fees, staffing, dementia rules.

    Kentucky · Assisted living facilityReviewed

  25. Louisiana adult residential care provider (ARCP) license: levels, rules and steps

    How Louisiana licenses assisted living and personal care homes as adult residential care providers: four levels, fees, insurance, staffing and the 2027 generator rule.

    Louisiana · Assisted living facilityReviewed

  26. Maine assisted living facility license: Chapter 113 Part A, fees and steps

    How Maine DHHS licenses apartment-style assisted living under 10-144 C.M.R. Ch. 113 Part A (Sept. 18, 2025): the $200 fee, RN and fire marshal rules, apartments, staff.

    Maine · Assisted living facilityReviewed

  27. Maryland assisted living program license: OHCQ levels, rules and steps

    How OHCQ licenses Maryland assisted living programs from 2 residents up: three levels of care, the 17-bed line, licensed managers from July 2026 and the survey.

    Maryland · Assisted living facilityReviewed

  28. Massachusetts assisted living residence certification: rules, fees and steps

    How Massachusetts certifies assisted living residences under M.G.L. c. 19D and 651 CMR 12.00: who needs it, the 90-day filing rule, fees, staffing and training.

    Massachusetts · Assisted living facilityReviewed

  29. Michigan home for the aged license: the assisted living license LARA issues

    How Michigan licenses assisted living as a home for the aged (HFA): the 21-resident and 55+ thresholds, the exemption route, LARA fees, building rules and steps.

    Michigan · Assisted living facilityReviewed

  30. Mississippi Personal Care Home - Assisted Living license: MSDH rules and steps

    How MSDH licenses a Mississippi Personal Care Home - Assisted Living: the eight-hour nurse rule, staff ratios, plan review, admission limits and the Medicaid waiver.

    Mississippi · Assisted living facilityReviewed

  31. Missouri assisted living facility license: DHSS rules, CON and steps

    How DHSS licenses Missouri assisted living facilities: ALF vs ALF**, the certificate of need test, administrator license, staffing, fire safety and fees.

    Missouri · Assisted living facilityReviewed

  32. Montana assisted living facility license: categories A to D, rules and steps

    How DPHHS licenses Montana assisted living facilities: categories A to D and the new D1, administrator rules, room sizes, the application packet and provisional license.

    Montana · Assisted living facilityReviewed

  33. Nebraska assisted living facility license: DHHS rules, fees and steps

    How Nebraska DHHS licenses assisted living facilities: the four-resident threshold, nursing limits, room sizes, administrator training, fees by bed count and renewals.

    Nebraska · Assisted living facilityReviewed

  34. Nevada residential facility for groups license: how assisted living is licensed

    How Nevada licenses assisted living as a residential facility for groups: who needs it, the administrator license, endorsements, sprinklers, bonds, fees and steps.

    Nevada · Assisted living facilityReviewed

  35. New Hampshire assisted living residence license: He-P 804 and He-P 805 explained

    How New Hampshire DHHS licenses assisted living at two levels (He-P 804 and He-P 805): local approvals, fire code, administrator rules, staffing, fees and CFI Medicaid.

    New Hampshire · Assisted living facilityReviewed

  36. New Jersey assisted living residence license: certificate of need first, then DOH licensure

    Opening an assisted living residence in New Jersey: the certificate of need, the 10% Medicaid rule, N.J.A.C. 8:36 unit and staffing standards, and state fees.

    New Jersey · Assisted living facilityReviewed

  37. New Mexico assisted living facility license: HCA rules, fees and the temporary-license path

    How New Mexico licenses assisted living under 8.370.14 NMAC: the two-resident threshold, 650 credit score, $300 fee, building rules and the temporary license.

    New Mexico · Assisted living facilityReviewed

  38. New York assisted living: the adult care facility certificate and ALR license

    How DOH licenses New York assisted living: the adult home or enriched housing certificate, the ALR license, EALR and SNALR, public need review, NYSE-CON and fees.

    New York · Assisted living facilityReviewed

  39. North Carolina adult care home license: certificate of need, DHSR steps and fees

    How North Carolina licenses adult care homes (assisted living, 7+ beds): the certificate of need, DHSR construction review, administrator certificate, staffing and fees.

    North Carolina · Assisted living facilityReviewed

  40. North Dakota assisted living facility license: two licenses, rules and fees

    How North Dakota licenses assisted living: the five-unit test, the HHS and Food and Lodging licenses, fees, fire and sanitation rules, and the basic care alternative.

    North Dakota · Assisted living facilityReviewed

  41. Ohio residential care facility license: how ODH licenses assisted living

    How Ohio licenses assisted living as residential care facilities: the 17-resident and nursing tests, the $320 fee, the ODH packet, staffing and inspections.

    Ohio · Assisted living facilityReviewed

  42. Oklahoma assisted living center license: OSDH establishment, fees and rules

    How OSDH licenses Oklahoma assisted living centers: the two-resident threshold, establishment approval, ODH Form 624, per-bed fees, Tier 2 administrators and staffing.

    Oklahoma · Assisted living facilityReviewed

  43. Oregon assisted living facility license: ODHS steps, fees and rules

    How ODHS licenses Oregon assisted living and residential care facilities: letter of intent, market analysis, consultant rule, fees, staffing and building rules.

    Oregon · Assisted living facilityReviewed

  44. Pennsylvania assisted living residence license: Chapter 2800, special care units and fees

    How DHS licenses Pennsylvania assisted living residences: supplemental health care, 225-square-foot units, nurse and administrator rules, special care units and fees.

    Pennsylvania · Assisted living facilityReviewed

  45. South Dakota assisted living center license: DOH rules, beds and staffing

    How the SD Department of Health licenses assisted living centers: who needs one, the 16-bed thresholds, plan review, staffing exceptions, fees and HOPE waiver enrollment.

    South Dakota · Assisted living facilityReviewed

  46. Tennessee assisted-care living facility (ACLF) license: rules, fees and steps

    How Tennessee licenses assisted-care living facilities: resident limits, plans review, the 13-minute evacuation rule, administrator certification and fees.

    Tennessee · Assisted living facilityReviewed

  47. Utah assisted living facility license: Type I, Type II and the size classes

    How Utah licenses assisted living: the two-resident threshold, Type I vs Type II, size classes, plan review, administrator rules, training and the application steps.

    Utah · Assisted living facilityReviewed

  48. Vermont assisted living residence license: units, Level III rules and steps

    How DAIL licenses Vermont assisted living residences: the 225-square-foot unit standard, Level III rules, manager qualifications, the application and renewal.

    Vermont · Assisted living facilityReviewed

  49. Virginia assisted living facility license: VDSS levels, rules and fees

    How VDSS licenses Virginia assisted living facilities: the four-resident threshold, two care levels, administrator rules, insurance tiers, fees and 2026 changes.

    Virginia · Assisted living facilityReviewed

  50. Washington assisted living facility license: DSHS rules, fees and steps

    How DSHS licenses Washington assisted living facilities: the 7-resident line, construction review, administrator routes, $381 per-bed fee, memory care.

    Washington · Assisted living facilityReviewed

  51. West Virginia assisted living residence license: OHFLAC rules, fees and steps

    How OHFLAC licenses West Virginia assisted living residences: the four-resident line, small vs large homes, nursing limits, plan review, staffing and fees.

    West Virginia · Assisted living facilityReviewed

  52. Wyoming assisted living facility license: Level 1, Level 2 and the HLS process

    How Wyoming licenses assisted living facilities: Level 1 and Level 2 (secure dementia unit), manager test, room and staffing rules, fees, survey steps, Medicaid waiver.

    Wyoming · Assisted living facilityReviewed

Beyond the state licenseEntity and EIN, caregiver pay rules, NPI, Medicaid or Medicare enrollment, EVV and background checks.Certificate of need by stateWhich states make home health, assisted living or adult day founders prove need before licensing.

Other care business types

All license types