Assisted living regulations vary between states, with little federal involvement, according to ALFA.org. However, regulations typically mandate that assisted living services provide a minimum level of assistance with dressing, eating and other tasks of daily life as well as the preparation of meals and carrying out housekeeping and resident assessments. State regulations may include a list of what assisted living services may not provide, such as continuous skilled nursing care.
Some states also mandate that assisted living services extend to helping individuals with certain optional activities such as money management, shopping and making appointments for health care.
Most state regulations allow assisted living providers to determine how many staff members their facilities need. There are 14 states that have mandatory ratios for staffing as of 2015. Mississippi, for example, mandates that facilities have at least one member of staff for every 15 residents during the day or every 25 residents during the night, notes PSMag.com.
Some campaigners for increased federal oversight over assisted living regulations define state regulatory schemes by what they fail to mandate. For example, in 14 states, including Minnesota, assisted living administrators are not required to have high school diplomas. Similarly, Colorado regulations, as in some other states, do not require licensed nurses to be among assisted living facility staff, reveals PSMag.com.