NCAL Publishes Assisted Living State Regulatory Review

The National Center for Assisted Living ( has released the 2008 edition of their annual review of the nation’s assisted living regulations.  Fortunately, assisted living continues to be regulated at the state level, and NCAL’s book is the most comprehensive state-by-state review of regulatory requirements.

Here is a brief highlight from NCAL of some of the changes from last year that is covered in more detail in the book:

– 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.

The over 230-page manual covers issues such as licensing requirements, training, staffing, medication management, and more.  The 2008 State Regulatory Review is a helpful reference for anyone operating in multiple states, or considering an expansion of their assisted living practice.

Learn more at

Discussion Area - Leave a Comment