SR CARE GROUP: Adult Care Facilities/Assisted Living

Adult Care Facilities (ACF) provide long-term, non-medical residential services to adults who are substantially unable to live independently due to physical, mental, or other limitations associated with age or other factors. Residents must not require the continual medical or nursing services provided in acute care hospitals, in-patient psychiatric facilities, skilled nursing homes, or other health related facilities, as Adult Care Facilities are not licensed to provide for such nursing or medical care.

For more information about these services including assisted living, visit our page about Adult Care Facilities Services (see below)

The Adult Care Facility Centralized Complaint Intake Program's business hours are from 8:30am to 4:45pm Monday through Friday, excluding holidays. Complaints made after hours may be left on the hotline's voicemail system and will be addressed within 1-2 business days. Please include your name, phone number (with area code), and a brief description of the issue or concern to which you called. All information provided is kept confidential.

*You have the option to remain anonymous. If wishing to remain anonymous, it is important for you to leave as much detailed information (if known) regarding the circumstances about which you are calling, such as the facility name and address, names of involved residents and staff, and date and time of the incident.

CENTRALIZED COMPLAINT INTAKE PROGRAM FOR ADULT CARE FACILITIES: (855) 720-2350

Adult Care Facility Services

Adult Care Facilities (ACF) provide long-term, non-medical residential services to adults who are substantially unable to live independently due to physical, mental, or other limitations associated with age or other factors. Residents must not require the continual medical or nursing services provided in acute care hospitals, in-patient psychiatric facilities, skilled nursing homes, or other health related facilities, as Adult Care Facilities are not licensed to provide for such nursing or medical care.

Department of Health licenses and regulates three types of Adult Care Facilities:

  • Adult Homes (AH): Established and operated for the purpose of providing long-term residential care, room, board, housekeeping, personal care, and supervision to five or more adults unrelated to the operator.

  • Enriched Housing Programs (EHP): Established and operated for the purpose of providing long-term residential care to five or more adults primarily persons sixty-five years of age or older, in community-integrated settings resembling independent housing units. The program provides or arranges for the provision of room, board, housekeeping, personal care, and supervision.

  • Residences for Adults: Established and operated for the purpose of providing long-term residential care, room, board, housekeeping, case management, activities and supervision to five or more adults, unrelated to the operator, who are unable or substantially unable to live independently.

An Adult Care Facility may choose to seek licensure as an Assisted Living Residence (ALR) and apply for additional certification as:

  • Enhanced Assisted Living Residence (EALR): Provides services that may enable a resident to age in place by admitting or retaining residents who (1) chronically require the physical assistance of another person to walk; (2) chronically require the physical assistance of another person to climb or descend stairs; (3) are dependent on medical equipment and require frequent assistance from medical personnel; or (4) have chronic unmanaged urinary or bowel incontinence. Care and services are provided in accordance with an Individualized Service Plan.

  • Special Needs Assisted Living Residence (SNALR): Provides services to individuals with special needs, including individuals with dementia or cognitive impairments in accordance with an Individualized Service Plan.

An Adult Home or Enriched Housing Program may also offer services through an:

  • Assisted Living Program (ALP): Provides services to persons who are medically eligible for nursing home placement but in a less medically intensive, lower cost setting. The ALP provides personal care, room, board, housekeeping, supervision, home health aides, personal emergency response services, nursing, physical therapy, occupational therapy, speech therapy, medical supplies and equipment, adult day health care, home health services, and the case management services of a registered professional nurse.

The operator of an ACF shall provide an organized, twenty-four (24) hour a day program of supervision, care, and services, which include personal care, case management, and activities as described below:

  • Supervision: Knowledge of general whereabouts of each resident, monitoring to identify changes in behavior, assistance in performing basic activities of daily living, including attendance and meals, participation in facility and community programs, and performance of basic money management.

  • Personal Care: Provide personal care as necessary to enable the resident to maintain good hygiene including assistance with grooming, dressing, bathing, toileting, self-administration of medications, and eating.

  • Case Management: Initial and periodic evaluation of the needs of the resident including establishing linkages with and arranging for services from public and private sources for income, health, mental health, and social services.

For laws and regulations pertaining to the rules and responsibilities of the above-mentioned entities, please refer to the “Laws & Regulations”  page.

For regulations pertaining to Adult Homes, Enriched Housing Programs, and Residences for Adults, search Title 18 (Social Services). Specifically,  State of Jurisdiction for Adult Homes;  State of Jurisdiction for Enriched Housing Programs;  State of Jurisdiction for Residences for Adults; and  State of Jurisdiction for Assisted Living Program.

For regulations pertaining to Assisted Living, Enhanced Assisted Living, and Special Needs Assisted Living, search Title 10 (Public Health).