You should be aware that some lobbying groups have pushed for federal oversight of assisted living. Such federal-level control would saddle assisted living with prescriptive, institutionalized regulations that have been the hallmark of the nursing home industry. State-level regulations are working. Residents are regularly reviewed and citations are issued when state regulators uncover problems. Forcing federal regulations on assisted living would remove the focus on choice and independence that defines the industry.
Assisted Living State Regulations and Licensing
The most progressive state regulations take cues from consumers and focus on protecting consumers in a way that provides the most choice and independence possible. The Assisted Living Federation of America supports certain core principles that should be included in every state's assisted living legislative or regulatory framework.
State regulations generally address the mandatory services a senior living residence must provide. For example, mandatory services in an assisted living residence generally include assistance with activities of daily living (help with dressing, eating, etc.), meals, housekeeping, and resident assessments. Some regulations include a list of optional services, such as money management, shopping services, and medical appointment management. Regulations also may outline services senior living residences can’t provide. For example, states often prohibit assisted living residences from providing continuous skilled nursing care.
Assisted Living Regulations in Your State
Many states’ regulations also include language about resolving resident grievances. The regulations may require a residence to develop a policy for addressing resident grievances or they may require the grievance process be disclosed as part of the lease or residency agreement. When visiting communities, ask for the residence’s complaint policy as well as who is responsible for addressing grievances.
Michigan Assisted Living Regulations:
State Agency Responsible for Regulating Assisted Living: Michigan Department of Human Services, Bureau of Children and Adult Licensing
- Regulations for Michigan Homes for the Aged (see Part 213)
- Regulations for Michigan Adult Foster Care Facilities
- Licensing Rules for Homes for the Aged
Thanks to the Alfa.org organization for the content for this post.