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# State-by-State: Assisted Living Regulations

ProPublica set out to compile the key rules and regulations governing assisted living in all 50 states and the District of Columbia. This information was gathered from state regulatory agencies, an examination of state codes and other records, and a 2013 review prepared by the National Center for Assisted Living, an industry trade group.

These are the categories included here: the qualifications required for those who run assisted living facilities; the frequency of inspections; fines for problem facilities; staffing requirements, and whether states offer performance records of the facilities to the public online. See more about the data. » | Related Story »

Frequency of Inspections

Every
5 years
Every
4 years
Every
3 years
Every
2 years
Every
year
Twice
per year
Search
State State Can Fine Facilities? State Posts Inspection Data Online? Administrators Required to Have High School Diploma, GED, or College Education? Minimum Staffing Ratios? Frequency of Inspections
Alabama B Yes Yes Yes Yes No requirement for periodic inspections
Alaska A Yes No No No Every two years
Arizona D Yes Yes Yes No Every two years
Arkansas C Yes No Yes Yes Every year
California E Yes No Yes No Every five years
Colorado F Yes Yes No Yes Every three years
Connecticut G No No Yes No Every two years
Delaware H Yes Yes Yes No Every year
Florida I Yes Yes Yes Yes Every two years
Georgia J Yes Yes No Yes Every two years
Hawaii K Yes No No No Every two years
Idaho M Yes Yes Yes No Every three years
Illinois N Yes No Yes No Every two years
Indiana O Yes Yes Yes No Every 15 months
Iowa L Yes Yes No No Every two years
Kansas P Yes No Yes No Every 15 months
Kentucky Q Yes No Yes No Every two years
Louisiana R Yes No No No Every year
Maine U Yes No No Yes Every two years
Maryland T Yes Yes Yes No Every 15 months
Massachusetts S Yes No Yes No Every two years
Michigan V Yes No No Yes Every two years
Minnesota W Yes Yes No No No requirement for periodic inspections
Mississippi Y No No Yes Yes Every two years
Missouri X Yes Yes Yes Yes Twice per year
Montana Z No No Yes No Every three years
Nebraska c Yes Yes No No Every five years
Nevada g Yes Yes Yes Yes Every year
New Hampshire d Yes No Yes No Every year
New Jersey e Yes Yes Yes No Every three years
New Mexico f Yes Yes Yes Yes No requirement for periodic inspections
New York h Yes Yes Yes No Every 18 months
North Carolina a Yes Yes Yes Yes Every two years
North Dakota b Yes No No No Every two years
Ohio i No Yes Yes No Every 15 months
Oklahoma j Yes Yes No No Every 15 months
Oregon k Yes Yes Yes No Every two years
Pennsylvania l Yes Yes Yes No Every year
Rhode Island m Yes No No No Every year
South Carolina n Yes No Yes Yes No requirement for periodic inspections
South Dakota o No No Yes No Every year
Tennessee p Yes No Yes No Every 15 months
Texas q Yes Yes Yes No Every two years
Utah r Yes No Yes No No requirement for periodic inspections
Vermont t Yes Yes No No No requirement for periodic inspections
Virginia s Yes Yes Yes No Every year
Washington u Yes Yes Yes No Every two years
Washington, D.C. y Yes Yes No No Every year
West Virginia w Yes No Yes Yes Every year
Wisconsin v Yes Yes Yes No Every two years
Wyoming x No Yes No No Every three years