State Guide to Assisted Living Records & Reports


To help inform senior care consumers on the availability and request process for state records on assisted living communities, we analyzed the openness and accessibility of such records in each U.S. state and the District of Columbia. Our analysis factored in: the amount of information available to the public, the ease of access to this information, and the frequency of state inspections or surveys.

We’ve compiled a directory of assisted living licensing websites by state, where you can find regulation standards in your state as well as individual assisted living facility inspection summaries and violation histories.

Updated: April 2020

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Exceptional
High
Moderate
Basic
Alternative content for the map

KEY FINDINGS

Top States for Information Access

State
Score
Florida Exceptional
Georgia Exceptional
Indiana Exceptional
Maryland Exceptional
Michigan Exceptional
Missouri Exceptional
Virginia Exceptional
Washington Exceptional
West Virginia Exceptional
Wisconsin Exceptional

States with Basic Information Access

State
Score
Alaska Basic
Kentucky Basic
Louisiana Basic
Massachusetts Basic
Mississippi Basic
Montana Basic
New Hampshire Basic
North Dakota Basic
South Dakota Basic
Utah Basic

Additional Information

To create our State Guide to Assisted Living Records & Reports, we assessed each state and the District of Columbia using more than a dozen objective criteria:

  • Whether the state lists assisted living communities online and if so,
    • whether it’s updated frequently (within 60 days)
    • whether the information is searchable
  • Whether information about inspections, complaints, violations, etc. are available online, and if so:
    • whether it’s updated frequently
    • whether it’s searchable or whether this information is integrated with the list of licensed communities, or whether it’s in a separate location
  • Whether information about special licensing for care is available
  • Whether the community’s pricing is available
  • Whether the capacity of the assisted living community is available
  • Whether the community’s administrator or owner’s name is shown
  • Whether payment types are shown online (i.e. Medicaid, private pay)
  • Whether the state can fine the facility
  • The frequency of mandatory inspections

After our Regulatory Licensing Team established each state’s adherence to the criteria, we applied a rubric that assigned a value to each particular criterion based on its relative importance. This allowed us to apply an objective score for each level of transparency, in turn defining a rating:

Exceptional: Has a unified online searchable database for assisted living facilities and licensing and regulation data. Includes assisted living provider background and contact information.

High: Has separate searchable databases for assisted living facilities and licensing and regulation data. May lack information about inspections and regulatory actions.

Moderate: Has directories of licensed communities online but does not have a searchable database. May lack information about inspections and regulatory actions.

Basic: Lists assisted living facility information in a PDF or Excel file. Information about regulatory actions is usually not available. A Freedom of Information Act (FOIA) request may be required to get information about the community.

Below you will find the rank each state received for its level of accessiblity in providing public information about assisted living facility reports.

State
Rating
Wisconsin Exceptional
Florida Exceptional
Idaho Exceptional
Indiana Exceptional
New Jersey Exceptional
West Virginia Exceptional
Michigan Exceptional
Virginia Exceptional
North Carolina Exceptional
Washington Exceptional
Kansas Exceptional
Nevada Exceptional
New York Exceptional
Oklahoma Exceptional
Missouri Exceptional
Pennsylvania Exceptional
California Exceptional
Minnesota Exceptional
Maryland Exceptional
New Hampshire Exceptional
Iowa High
Oregon High
Alabama High
New Mexico High
Arizona High
North Dakota High
Georgia High
Hawaii High
Ohio High
Colorado High
Montana High
Texas High
Rhode Island High
Nebraska High
Wyoming High
Vermont Moderate
Washington, D.C. Moderate
Connecticut Moderate
Delaware Moderate
Tennessee Moderate
Arkansas Moderate
Maine Moderate
Illinois Moderate
Alaska Basic
Utah Basic
South Carolina Basic
Kentucky Basic
Louisiana Basic
Mississippi Basic
South Dakota Basic
Massachusetts Basic

The State Guide to Assisted Living Records & Reports project was undertaken to provide senior care consumers, elder advocates, and industry researchers something that has never before been available: a detailed snapshot of each state’s accessibility to public information regarding assisted living licensure, monitoring, and deficiency reporting.

For every state and the District of Columbia, the Guide outlines the assisted living regulatory agency’s process of providing public records, details the level of transparency within the records, and ranks how that compares to other states.

Research

The data was compiled by A Place for Mom’s Regulatory Licensing Team, part of the company’s Legal Department. The Team is charged with confirming, twice a year that all communities in A Place for Mom’s referral network are licensed and in compliance with applicable State and Federal regulations.

This ongoing audit of communities requires using various methods of gathering public information released by each state. The process ranges from utilizing state websites and searching public databases to completing Freedom of Information Act request forms and speaking with numerous state representatives.

Auditing over the years has provided immensely valuable insight into the quality of agencies’ processes currently in place to provide this critical information to families. The Licensing Team collaborated with the A Place for Mom Content Team to publicize this insight in a way that would be useful for consumers: an interactive map providing an overview on transparency and instructions for obtaining information.

To rank the states’ accessibility, each agency was evaluated according to more than a dozen separate objective criteria. The criteria were weighted by relative importance, and the state was assigned an objective rating.

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