The National Center for Assisted Living conducts an annual, state-by-state regulatory review each March. This year's report has just been released, and the report includes regulatory or policy changes related to assisted living in at least 18 states that have been implemented within the past year. States with major changes include Idaho, Kentucky, Oregon, Pennsylvania, South Carolina, and Texas. New assisted living regulations

This state-by-state summary covers 21 categories and includes contact information for states' regulating bodies that oversee assisted living facilities. Life safety, information disclosure, medication management, regulatory enforcement, resident assessment, move-in/move-out requirements, and Alzheimer's/dementia-related standards are just some of the issues covered by policy changes and addressed in the NCAL's report. Staff training, tuberculosis testing, protection from exploitation, and background checks are also areas of interest.

Pennsylvania is one state that incorporated a major regulatory change in 2010, as we reported in a previous post back in July. The state added an additional level of licensure for assisted living communities, which were previously grouped in the same licensure category as personal care homes.

Oregon created new regulations for endorsing Memory Care Communities. Endorsed faclities now have higher standards related to specialized staff training in Alzheimer's/dementia care, person-centered care, consumer protection and environmental and facility requirements. In Rhode Island, more assisted living residents will be able to receive therapy services or skilled nursing care, and those already eligible for such services will be able to receive them for a longer duration.

In Washington state, boarding homes face increased disclosure requirements: Facilities now must clarify whether or not they accept Medicaid as a payment source to all incoming residents. Rhode Island personal care and assisted living homes must now escrow funds to pay for a Medicaid recipient's care in an alternate facility should the facility surrender its license.

Read more and download the complete state-by-state report on the AHCA/NCAL website.

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