AL
Alabama
AL
Assisted Living Facilities, Specialty Care Assisted Living Facilities
Alabama Department of Public Health, Bureau of Health Provider Standards
Residents may not require restraints or confinement or limitations on egress
Residents may not be unable, because of dementia, to understand the facility’s unit dose medication system
+4 more requirements
Fees$240 application fee plus $18 per bed for Specialty Care Assisted Living Facilities
AK
Alaska
AK
Assisted Living Home
Alaska Department of Health, Residential Licensing Unit
Serves 3+ unrelated adults or receives state/federal payment
Provides housing and food services
+4 more requirements
Fees$25 for voluntary license|$75 for 3-5 resident homes + $25 per resident beyond 3|$150 for 6+ resident homes + $25 per resident beyond 6|$25 for modification not adding capacity|$25 per additional resident for capacity modification|$150 for additional onsite visits due to noncompliance
AZ
Arizona
AZ
Assisted Living Facility (includes Assisted Living Homes and Assisted Living Centers)
Arizona Department of Health Services
Service plan required within 14 days of acceptance
Staff must be capable of providing assisted living services, behavioral health services, behavioral care, and ancillary services
+4 more requirements
FeesApplication fee of $50; other fees established by DHS for initial and annual licensure.
AR
Arkansas
AR
Assisted Living Facilities Level I | Assisted Living Facilities Level II
Arkansas Department of Human Services, Office of Long Term Care
Administrator qualifications (Master's degree in human services or related field, or Bachelor's degree with 2 years experience for Level I; Licensed Nursing Home Administrator for Level II)
Background checks for owners, operators, and direct care staff
+6 more requirements
FeesLevel I: $100 application fee | Level II: $150 application fee
CA
California
CA
Residential Care Facility for the Elderly (RCFE)
California Department of Social Services, Community Care Licensing Division, Adult and Senior Care Program
Administrator Qualifications: Must be 21 years old; high school diploma (15 beds or less); 15 college credits (16-49 beds); 2 years college or 3 years experience (50+ beds); 80-hour certification program and state exam; 40 hours continuing education every two years.
Staff Qualifications: Must be 18 years old; pass criminal background check; 40 hours training within first year (20 hours before working independently, 20 hours within first four weeks); 20 hours training annually thereafter; dementia care training required for all staff; additional training for medication assistance.
+5 more requirements
FeesInitial Application Fees: 1-3 beds: $495.60|4-6 beds: $990.00|7-15 beds: $1,486.80|16-30 beds: $1,980.00|31-49 beds: $2,476.80|50-74 beds: $2,972.40|75-100 beds: $3,469.20|101-150 beds: $3,964.80|151-200 beds: $4,622.40|201-250 beds: $5,280.00|251-300 beds: $5,940.00|301-350 beds: $6,600.00|351-400 beds: $7,260.00|401-500 beds: $8,580.00|501-600 beds: $9,900.00|601-700 beds: $11,220.00|701+ beds: $13,200.00|Annual Fees: 1-6 beds: $495.60|7-15 beds: $742.80|16-30 beds: $990.00|31-49 beds: $1,238.40|50-74 beds: $1,448.00|75-100 beds: $1,734.00|101-150 beds: $1,982.40|151-200 beds: $2,311.20|201-250 beds: $2,640.00|251-300 beds: $2,970.00|301-350 beds: $3,300.00|351-400 beds: $3,630.00|401-500 beds: $4,290.00|501-600 beds: $4,950.00|601-700 beds: $5,610.00|701+ beds: $6,600.00|Other Fees: Relocation fee: 50% of established application fee.|Corporate licensee change of authority fee: 50% of established application fee.|Increase/decrease capacity fee: $25.|Orientation fee: $50.|Probation monitoring fee: Equal to current annual fee.|Late fee: Additional 50% of current annual fee.|Payment processing fees (bounced checks, credit/debit charges, postage due).|Plan of correction fee: $200.|Liability Insurance: $1,000,000 per occurrence and $3,000,000 annually. No security deposits allowed; pre-admission fees may be charged.
CO
Colorado
CO
Assisted Living Residence
Colorado Department of Public Health and Environment (CDPHE)
Administrator must be at least 21 years old
Administrator must have a high school diploma or equivalent
+4 more requirements
FeesInitial License Application: $7,789.94 (3-8 Beds), $9,026.44 (9-19 Beds), $10,819.37 (20-49 Beds), $14,281.56 (50-99 Beds), $18,238.36 (100+ Beds); Renewal License Application: $445.09 Base Fee + $127.35 Per Bed Fee
CT
Connecticut
CT
Assisted Living Services Agency
Connecticut Department of Public Health (DPH), Facility Licensing & Investigations Section
Certificate of need may be required
Application for licensure on DPH forms
+6 more requirements
FeesNot explicitly stated for initial application, but evidence of financial viability and insurance are required.
DE
Delaware
DE
Assisted Living Facility
Delaware Department of Health and Social Services, Division of Health Care Quality
Must be duly licensed under these regulations and state law.
Submit a written plan of action to correct deficiencies within 10 working days of notice.
+4 more requirements
FeesIssuance and renewal fees: up to $150 plus $250 for facilities with less than 100 units/beds, or $400 for facilities with 100 or more units/beds. Background examination fee for initial applications: up to $500. Total fee for facilities with 16 or fewer units/beds: $50.
FL
Florida
FL
Assisted Living Facility
Agency for Health Care Administration (AHCA)
Provide housing, meals, and personal care services for 24+ hours
assistance with ADLs and self-administration of medication
+9 more requirements
FeesBase biennial fee for a standard ALF license is $308 per license plus $51 per bed. Facilities providing Extended Congregate Care (ECC) services pay an additional fee of $430, plus $10 per bed.
GA
Georgia
GA
Assisted Living Community License
Georgia Department of Community Health, Healthcare Facility Regulation Division
Applicant must be individual proprietor, general partners, governing body of association/LLC, or governing body of corporation
Documentation of ownership or lease agreement
+4 more requirements
FeesNot specified in the provided regulations.
HI
Hawaii
HI
Assisted Living Facility
Hawaii Department of Health, Office of Health Care Assurance, State Licensing Section
Resident of Hawaii
At least 21 years of age
+6 more requirements
Fees$500 (Licensure and Certification Renewal Fee)
ID
Idaho
ID
Residential Assisted Living Facility (RALF)
Idaho Department of Health and Welfare
Request online portal access
Complete application
+4 more requirements
Fees$100 application fee, $100 annual renewal, $500 building evaluation fee
IL
Illinois
IL
Assisted Living Establishment or Shared Housing Establishment License
Illinois Department of Public Health
Obtain a valid license before establishing, operating, maintaining, or offering an establishment as an assisted living or shared housing establishment.
Compliance with Nursing Home Care Act if operating without a license.
+6 more requirements
FeesInformation not readily available in the administrative code. Further research needed.
IN
Indiana
IN
Residential Care Facility
Indiana State Department of Health, Division of Long Term Care
Must be licensed as a residential care facility if providing residential nursing care or administering medications
Cannot provide comprehensive nursing care except as allowed by rule
+2 more requirements
FeesNot specified; application requires an appropriate license fee.
IA
Iowa
IA
Assisted Living Programs
Iowa Department of Inspections, Appeals, and Licensing (DIAL), Adult Services Bureau
Disclosure of ownership, board members, and any felony convictions or violations of child/dependent adult abuse laws
Program manager to complete an assisted living management class within six months of hire (6 hours of Iowa-specific training)
+4 more requirements
FeesFee set forth in Iowa Code section 231C.18 for initial certification and recertification.
KS
Kansas
KS
Assisted Living Facility (under Adult Care Home licensure)
Kansas Department for Aging and Disability Services (KDADS)
Application with letter of intent, financial statement, legal documents of ownership
Criminal background checks for all staff
+6 more requirements
Fees$30.00 per resident in stated capacity + $100.00 for initial application and annual report; $30.00 per resident increase/decrease + $100.00 for change in resident capacity.
KY
Kentucky
KY
Assisted Living Community (ALC), Assisted Living Community with Basic Health Care (ALC-BH), Assisted Living Community with Dementia Care (ALC-DC)
Kentucky Cabinet for Health and Family Services
Application for Licensure to Operate an Assisted Living Community
Proof of approval by State Fire Marshal
+9 more requirements
Fees<25 units: $500 + $40/unit|25-49 units: $1,000 + $40/unit|50-74 units: $1,500 + $40/unit|75-99 units: $1,750 + $40/unit|100+ units: $2,000 + $40/unit|Name change: $25|Change in units: $60/additional unit|Change of ownership: $500|Change of managing agent: $25|Information to lenders: $250
LA
Louisiana
LA
Adult Residential Care Provider (ARCP) Level 3 Assisted Living Home/Facility
Louisiana Department of Health, Health Standards Section
Directors: 12 hours continuing education annually
Staff: Orientation program (facility policies, emergency procedures, resident rights, abuse reporting, job responsibilities)
+3 more requirements
Fees$600 application fee plus $5 per unit; $100 delinquent fee for late renewal
ME
Maine
ME
Assisted Living Facilities
Department of Health and Human Services, Division of Licensing and Certification
Administrator must be at least 21 years of age
Administrator must have management and supervisory experience, including financial operations and staff
+4 more requirements
Fees$200 annual license fee
MD
Maryland
MD
Assisted Living Program License
Maryland Department of Health, Office of Health Care Quality (OHCQ)
License required to operate
Applicant must submit a complete application
+4 more requirements
FeesInitial application fee: $100; Initial license fee: $100 per bed, not to exceed $2,000. Renewal fee: $100 per bed, not to exceed $2,000.
MA
Massachusetts
MA
Certification for Assisted Living Residence
Executive Office of Elder Affairs (EOEA)
Certified by EOEA
Applicant must have sufficient property rights
+4 more requirements
Fees$200 non-refundable application fee; $125/Unit certification fee
MI
Michigan
MI
Home for the Aged License
Michigan Department of Licensing and Regulatory Affairs (LARA), Bureau of Community and Health Systems (BCHS)
Current written admission policy and program statement
Copies of personnel policies, job descriptions, standard procedures, proposed staffing patterns, and organizational chart
+4 more requirements
FeesA license fee shall accompany an original license application and a license renewal application. This fee is nonrefundable. Specific dollar amounts not specified in the regulations found.
MN
Minnesota
MN
Assisted Living Facility License (or Assisted Living Facility with Dementia Care License)
Minnesota Department of Health
Assisted Living Director must be licensed
Background studies for license applicants
+6 more requirements
Fees$2,000 plus $125 per resident for Assisted Living Facilities. $3,000 plus $150 per resident for Assisted Living Facilities with Dementia Care.
MS
Mississippi
MS
Personal Care Homes - Assisted Living
Mississippi State Department of Health
Application for license or renewal; Compliance with local municipal codes, state and federal laws; Conformance to fire safety regulations; Criminal history record checks for employees; Employee health screening and TB testing; Admission agreement; Medical evaluation prior to admission; TB assessment for residents; Influenza education for residents; Well-planned meals; Adequate heating and cooling; Adequate lighting; Smoke detectors; Automatic sprinkler system; Building construction requirements; Water supply and sewerage disposal approval.
FeesInitial and renewal licensure application fee (amount set by the Board); User fee for additions, renovations, modernizations, expansions, alterations, conversions, modifications, or replacements (amount set by the Board); Late fee for renewal (amount set by the Board).
MO
Missouri
MO
Residential Care Facility I or II, or Assisted Living Facility
Missouri Department of Health and Senior Services (DHSS)
Administrator qualifications (21 years old, high school graduate, 2 years experience in health care or related field, 60 hours of administrator training)
Criminal background checks for all employees
+9 more requirements
FeesInitial application fee: $200 | Annual renewal fee: $200
MT
Montana
MT
Assisted Living Facility
Montana Department of Public Health and Human Services
Administrator must be licensed as a nursing home administrator or complete an approved assisted living training program.
Administrator must complete at least 16 hours of annual continuing education.
+3 more requirements
FeesApplication for a license accompanied by the required fee (fee amount not specified in this document). Fee of $100 from a prospective resident, resident or facility appealing a rejection, or relocation decision to cover the cost of the independent nurse resident needs assessment (37.106.2821(5)).
NE
Nebraska
NE
Assisted-Living Facilities License
Nebraska Department of Health and Human Services
Administrator qualifications: must be at least 21 years old, have a high school diploma or GED, and complete a state-approved administrator training course
Criminal background check for administrator and staff
+3 more requirements
FeesInitial application fee: $100; Initial license fee: $100; Renewal fee: $100
NV
Nevada
NV
Residential Facility for Groups (Adult Group Care/Assisted Living)
Nevada Bureau of Health Care Quality & Compliance (HCQC)
Resume for the Administrator
Copy of Current Elder Abuse, Neglect, and Exploitation Training for the Administrator
+4 more requirements
FeesCertificate of Liability Insurance (COI)|Surety Bond
NH
New Hampshire
NH
Assisted Living Residence - Residential Care Licensing
New Hampshire Department of Health and Human Services, Health Facilities Administration
Compliance with He-P 804 rules
Submission of application form
+4 more requirements
Fees$25 per licensed bed
NJ
New Jersey
NJ
Assisted Living Residence; Comprehensive Personal Care Home; Assisted Living Program
New Jersey Department of Health
Certificate of need required
Application on forms prescribed by the Department
+9 more requirements
Fees$1,500 + $15 per bed (Assisted Living Residence/Comprehensive Personal Care Home initial and annual renewal); $1,125 (Assisted Living Program initial and annual renewal); $1,500 biennial inspection fee (Assisted Living Residence/Comprehensive Personal Care Home); $750 biennial inspection fee (Assisted Living Program)
NM
New Mexico
NM
Assisted Living Facility License
New Mexico Health Care Authority, Division of Health Improvement, Health Facility Licensing and Certification Bureau
Administrator: at least 21 years old, high school diploma, criminal history screening (8.370.5 NMAC), state-approved certification, able to communicate with residents, not work under influence of drugs/alcohol, evidence of education/experience, three notarized letters of reference, comply with employee abuse registry (8.370.8 NMAC)
Direct Care Staff: at least 16 years old, adequate education/training/experience, comply with employee abuse registry (8.370.8 NMAC), comply with incident reporting (8.370.9 NMAC), valid NM driver's license (if transporting residents), transportation safety training (if transporting residents), proof of insurance (if transporting residents), clean driving record (if transporting residents), criminal history screening (if not covered by 8.370.5 NMAC)
+4 more requirements
Fees$300.00 annually for base assessment rate. $300.00 for amended license (additional $25.00 per bed if change of capacity). Application and license fees are non-refundable. Evidence of sufficient financial assets to operate for six months, including a credit report with a minimum score of 650, is required.
NY
New York
NY
Assisted Living Residences (ALR), Enhanced Assisted Living (EALR), Special Needs Assisted Living (SNALR)
New York State Department of Health
Applicant must possess a valid operating certificate to operate as an adult home or enriched housing program (or apply simultaneously).
Applicant must be in good standing with the Department.
+4 more requirements
FeesBiennial fee for Enhanced Assisted Living certification: $2,000|Biennial fee for Special Needs Assisted Living certification: $2,000
NC
North Carolina
NC
Adult Care Home
North Carolina Department of Health and Human Services, Division of Health Service Regulation, Adult Care Licensure Section
Compliance history review; No new license if previous license revoked, summarily suspended, assessed Type A/B violation, or downgraded to provisional status/admissions suspended; Outstanding fees/fines must be paid; Not hinder community advisory committee; Annual renewal application
Fees$315.00 annual license fee for 6 or fewer beds; $360.00 annual license fee plus $17.50 annual per-bed fee for more than 6 beds
ND
North Dakota
ND
Assisted Living Facility
North Dakota Department of Health and Human Services
Building with at least five living units; operated as one entity; provides services for five or more unrelated individuals; provides or coordinates individualized support services; accommodates individual needs and abilities to maintain independence.
Fees$170 annual license fee
OH
Ohio
OH
Residential Care Facility
Ohio Department of Health
Administrator at least 21 years old with specific qualifications
Staff providing personal care at least 16 years old (supervised if under 18)
+3 more requirements
Fees$350 annual license fee
OK
Oklahoma
OK
Assisted Living Center
Oklahoma State Department of Health
Resident care must not exceed licensed capability
Admission criteria based on resident needs (personal care, nursing supervision, medication, cognitive orientation, transfer/ambulation)
+24 more requirements
FeesInitial License Fee: (number of beds) x ($10) x (0.5) (180-day license); Renewal License Fee: (number of beds) x ($10) x (3 years)
OR
Oregon
OR
Assisted Living Facility (ALF) / Residential Care Facility (RCF)
Oregon Department of Human Services
Administrator must be licensed by Oregon Health Licensing Office (RCFA license)
Applicants must demonstrate history of compliance and ability to deliver quality services
+5 more requirements
Fees1 to 15 beds: Application $2,000, Biennial Renewal $1,000|16 to 49 beds: Application $3,000, Biennial Renewal $1,500|50 to 99 beds: Application $4,000, Biennial Renewal $2,000|100 to 150 beds: Application $5,000, Biennial Renewal $2,500|151 or more beds: Application $6,000, Biennial Renewal $3,000
PA
Pennsylvania
PA
Assisted Living Residence
Pennsylvania Department of Human Services (DHS), Office of Long-Term Living (OLTL), Bureau of Human Services Licensing (BHSL)
Procedural requirements for licensure or approval
Criminal history checks
+4 more requirements
Fees$300 license application or renewal fee; $75 per bed fee.
RI
Rhode Island
RI
Assisted Living Residence License
Rhode Island Department of Health
Administrator qualifications (21 years old, high school diploma/GED, 2 years experience in healthcare or related field, or associate's degree and 1 year experience, or bachelor's degree); Criminal background checks for all employees and volunteers; Initial and ongoing staff training requirements; Compliance with fire and health safety standards; Resident agreement outlining services, charges, and resident rights
FeesInitial application fee: $1000; Annual license fee: $500 plus $10 per licensed bed
SC
South Carolina
SC
Community Residential Care Facility (CRCF) license
South Carolina Department of Health and Environmental Control (DHEC)
Obtain license from Department
Substantial compliance with licensing standards
+4 more requirements
Fees$10.00 per licensed bed or $75.00 whichever is greater; non-refundable. Late fee: $75.00 or 25% of licensing fee, whichever is greater.
SD
South Dakota
SD
Assisted Living Center license
South Dakota Department of Health
Acceptance and retention of residents based on facility's capabilities
Residents must be housed within the facility
+3 more requirements
Fees16 beds or less: $150; 17 to 50 beds: $300; 51 to 100 beds: $450; 101 or more beds: $600
TN
Tennessee
TN
Assistance-Care Living Facility
Tennessee Department of Health, Health Facilities Commission
Administrator at least 21 years old with high school diploma/GED and 1 year healthcare experience or 2 years administrative experience
Staff at least 18 years old
+3 more requirements
Fees1-10 beds: $1,000|11-20 beds: $1,200|21-30 beds: $1,400|31-40 beds: $1,600|41-50 beds: $1,800|51-75 beds: $2,000|76-100 beds: $2,200|101+ beds: $2,400
TX
Texas
TX
Assisted Living Facility (Type A, Type B, Type C)
Texas Health and Human Services Commission
Complete pre-survey, computer-based training
Properly complete and submit the license application
+3 more requirements
FeesInitial, renewal, change of ownership, relocation Type A and Type B: $300 fee plus $15 per bed (max $2,250 for 3-year license). Two-year license: $200 plus $10 per bed (max $1,500). Type C: $150 for 3-year license, $100 for 2-year renewal. Alzheimer Certification (3-year): $300. Increase capacity fee: $15 per bed. Late fee: one-half the basic fee if renewal submitted less than 45 days before expiration.
UT
Utah
UT
Assisted Living Facility Type I and Type II License
Utah Department of Health and Human Services, Office of Licensing
Administrator 21+ with high school diploma and approved training; Direct care staff 18+ with approved training and competency evaluation; Criminal background checks for all staff; Policies for resident care, medication, emergencies; Resident agreement outlining services, fees, rights; Compliance with physical plant requirements (fire safety, resident unit size, common areas)
FeesAssisted Living Facilities Type I (per licensed bed): $37.19; Assisted Living Facilities Type II (per licensed bed): $37.19; New and Renewal fee for each satellite and branch office: $371.92
VT
Vermont
VT
Assisted Living Residence
Department of Disabilities, Aging and Independent Living, Division of Licensing and Protection
Must meet Level III Residential Care Home requirements
Provide private bedroom, private bath, living space, kitchen capacity, and lockable door
+4 more requirements
FeesNot specified in regulations
VA
Virginia
VA
Assisted Living Facility License
Virginia Department of Social Services
Administrator qualifications (21+ years old, high school diploma/GED, specific training based on facility size)
Direct care staff qualifications (18+ years old, high school diploma/GED, 40 hours training within 90 days)
+2 more requirements
FeesInitial application fee: $1000; Annual renewal fee: $500
WA
Washington
WA
Assisted Living Facility License
Washington State Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration (ALTSA)
Licensee qualifications; Background checks for applicants, administrators, and caregivers; Application submission 90 days prior to proposed effective date; Construction plans approved by construction review services; Annual license fee submission
Fees$383 per bed annually (FY 2026); $381 per bed annually (FY 2027)
WV
West Virginia
WV
Assisted Living Residences
West Virginia Department of Health and Human Resources (DHHR), Bureau for Public Health, Office of Health Facilities Licensure and Certification (OHFLAC)
Functional needs assessment by physician or licensed health care professional within 60 days prior to admission or 5 working days following admission, and annually thereafter.
Service plan developed within 45 days of admission based on assessment.
+4 more requirements
Fees$65.00 initial application fee
WI
Wisconsin
WI
Community-Based Residential Facility (CBRF) License
Wisconsin Department of Health Services (DHS) Division of Quality Assurance (DQA)
Compliance with Wis. Admin. Code ch. DHS 83
Administrator qualifications (DHS 83.15)
+4 more requirements
FeesApplication fee: $100; Initial license fee: $100; Annual license fee: $100
WY
Wyoming
WY
Assisted Living Facility (ALF) License (Level 1 and Level 2)
Wyoming Department of Health, Aging Division, Office of Healthcare Licensing and Surveys
Manager at least 21 years old
Manager assumes overall responsibility
+4 more requirements
FeesSurvey fee for initial and re-licensure inspection. Revised License fee: $50. License fees based on bed capacity: 1-50 beds: $100; 51-100 beds: $200; 101-150 beds: $300; 151-200 beds: $400; >200 beds: $500.