Colorado: Overview of Assisted Living Licensing

What types of facilities provide assisted living services for seniors in Colorado?

Licensing of Assisted Living Residences in ColoradoIn the state of Colorado, there are several types of facilities that provide care services for adults. Facilities that specifically provide assisted living services, such as bathing, grooming or supervision, for adults are called assisted living residences.

There are three types of assisted living residences as per 6 CCR 1011-1 Chapter 7 1.102 (4) and (6):

  • A Private Pay Facility is an assisted living residence that provides room and board, and at least one of the following services: personal services, protective oversight, social care, and regular supervision, to three or more adults who are not related to the facility’s owner and the residents pay out of pocket for these services.
  • An Alternative Care Facility is an assisted living residence certified by the Colorado Department of Health Care Policy and Financing to receive Medicaid reimbursement.
  • A Residential Treatment Facility-Adult is an assisted living residence that provides services for no more than 16 mentally ill individuals who are unrelated to the licensee and are provided treatment that is approved by the Department of Human Services.

Who licenses Assisted Living Residences in Colorado?

The Colorado Department of Public Health and Environment Health Facilities is charged with licensing and inspecting assisted living homes. The licensing and renewal process is outlined in 6 CCR 1011-1 Chapter 7 1.103.

  • An initial license is valid for one year from date of issuance unless it is voluntarily relinquished by the facility or revoked or suspended.
  • A provisional license is issued for a period of 90 days if the applicant cannot temporarily conform to the minimum standards required for assisted living residences. This license is not issued if the operation of the facility will adversely affect the health, safety, and welfare of the facility’s residents.
  • A renewal license is valid for one year from the prior expiration date unless it is voluntarily relinquished by the facility or revoked or suspended.

As per 6 CCR 1011-1 Chapter 2 10.2, the license is to be displayed in a conspicuous place visible to patients, residents or clients who enter the residence.

What is required to obtain an Assisted Living Residence license?

First the owner submits the facility’s construction plans to the Colorado Department of Public Safety (DPS) and a Letter of Intent to the Colorado Department of Public Health and Environment (CDPHE). Once DPS issues certification of compliance, the CDPHE conducts a health survey. After making any corrections, if required, the CDPHE issues the license and the facility is open for business.

How do I know an Assisted Living Residence is licensed?

The Health Facilities office provides a current listing of licensed assisted living residences.

How frequently are Assisted Living Residences inspected?

The inspection process of health care facilities recently switched to a tiered inspection system and is outlined in 6 CCR 1011-1 Chapter 2 11.2. Facilities that have been licensed for at least three years are eligible to undergo inspections every three years instead of annually if they have not had

  • any enforcement activity
  • patterns of deficient practices
  • substantial complaints resulting in significant deficiencies

The reason for this change was to reduce the time and costs required of licensure inspections for both the Health Facilities office and the licensed health care facility.

Where can I find the inspection reports of Assisted Living Residences?

The health and life safety code surveys conducted by the Health Facilities office are available online. You may search by city or county and payment options.

How long are Assisted Living Residences required to retain their copy of inspection reports?

There is no regulation that specifies how long assisted living residences are required to maintain their copy of survey reports or that surveys are required to be posted. In the online directory, surveys conducted in the past three years are available for viewing and the Health Facilities office retains their records for five years.

How can I file a complaint against an Assisted Living Residence and what is the complaint process?

The Health Facilities office provides a helpful page that details how consumers can file complaints and how complaints are investigated.

Where can I find a list of Assisted Living Residences which are Top-Rated Senior Living Communities?

Top Rated California Residential Care Facilities for the ElderlyIn 2013 launched a nationwide program to identify the best senior living communities. Using local experts and state inspection data, we created Top 10 list for the Denver metro.

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