Assisted Living Senior Housing - It is all in the name ...
Learn more about the terminology used in State Licensing Requirement for Assisted Living Facilities (ALF)
Licensing requirements for Assisted Living Facilities - ALF are controlled at the State level. Each State has the control to select the terminology of how to refer to various types of Assisted Living Facilities - ALF's in their state. Many states have slightly different names and definitions for Assisted Living Facilities - ALF's in their State compared to other States. However all of the states are referring to a similar "assisted living lifestyle" for seniors.
Some of the common names for Assisted Living Facilities used by states are listed below. Note that this is a partial list. A link to State licensing requirements for Assisted Living Facilities - ALF maintained by U.S. Department of Health and Human Services is included below along with other helpful information about Assisted Living Facilities. See - How Do You Know What Terminology Your State Uses?
Here are some common names for Assisted Living Facilities - ALF and common acronyms:
![]() Castle Rock Assisted Living |
![]() Libby Bortz Assisted Living |
![]() Cranbrook Senior Living |
![]() Springwood |
- Adult Care Home
- Adult Family Home
- Adult Family Home - AFH
- Adult Foster Care - AFC
- Adult Foster Care Home - AFCH
- Adult Group Home - AGH
- Alternative Care Facility - ACF
- Alzheimer's Special Care Unit - ASCU
- Assisted Care Living Facility - ACLF
- Assisted Living Communities
- Assisted Living Community - ALC
- Assisted Living Facility - ALF
- Assisted Living Program - ALP
- Assisted Living Residence - ALR
- Assisted Living Residence-Residential Care - ALR-RC
- Assisted Living Residence-Supported Residential Health Care - ALR-SRHC
- Board and Care
- Congregate Care
- Family Care Home
- Personal Care
- Personal Care Boarding Home - PCBH
- Residential Care
- Residential Care Facilities
More about Assisted Living Facilities - ALF
Assisted Living Facilities - ALF are State-regulated (regulations vary among states). They are rental properties that provide an independent living environment, but also provide care to those needing assistance with activities of daily living (ADL's) including management of medications, bathing, dressing, toileting and eating, residents require less assistance than that at a skilled nursing facility. The fee schedule is regular monthly rent along with additional fees for specific services and Medicare does not generally cover care in these facilities. The community may be a large location or a single family residence converted into an Assisted Living residence; many have private living space and a kitchenette. Some of these facilities provide care for Alzheimer's and related dementia conditions.
Number of Residents in Assisted Living Facilities - ALF
The number of residents in an Assisted Living Facility is usually what defines the specific name and licensing that a State uses to refer to that type of facility. For example the terms Adult Care Home, Family Care Home or Adult Foster Home may at the State level refer to private residences that provides a home-like setting, and serves 5 or less residents. The name Assisted Living Communities or Residential Care Facilities may be an official State name for State-regulated rental properties where six or more seniors reside and receive supportive services.
How Do You Know What Terminology Your State Uses?
To find out what terms your State uses for Assisted Living Facilities and more information about licensing for Assisted Living Facilities in a specific state the U.S. Department of Health and Human Services works with State agencies to provide online copies of the statutes, regulations and reports in a central Compendium. Visit this online resource, find your state and review the State's information:
Residential Care and Assisted Living Compendium from U.S. Department of Health and Human Services
Choosing an Assisted Living Facilities - ALF
A good match between a community and a senior's needs depends as much on the philosophy and services of the facility as it does on the quality of care. The following suggestions can help you get started in your search for a safe and comfortable Assisted Living Facilities - ALF.
- What are your future needs and how will the community meet those needs?
- Is the community close to family and friends?
- Are there any shopping centers or other businesses nearby (within walking distance)?
- Visit each community more than once, sometimes unannounced.
- Visit at meal times, sample the food, and observe the quality.
- Observe interactions among residents and staff and ask questions.
- Ask about social, recreational, and spiritual activities.
- Ask about the type and frequency of staff trainings.
- Review state licensing reports.
Learn More About Your Long-term Care Ombudsman
Under the Federal Older Americans Act, every State is required to have an Ombudsman Program. A Long-term Care Ombudsman is a volunteer advocate who works to resolve concerns or issues between residents and long term care facilities, such as assisted living or nursing homes. Volunteers are usually a part of a public, government, or community-supported program. They advocate for the rights of all residents in senior housing facilities. An Ombudsman will visit local facilities regularly, monitor conditions of care, investigate complaints and mediate disputes involving meals, finances, medication, therapy, placements and communication with the staff.
- If you have a family member in a senior housing facility licensed by the State then you can bring complaints to the Ombudsman for that facility that you feel have not been addressed by the owners and operators of the facility. To learn more about Long-term Care Ombudsman program visit the National Long-Term Care Ombudsman Resource Center website - www.ltcombudsman.org.
- To locate an Ombusdman for a particular skilled nursing facility contact the location and request the Ombudsman's contact information.
Assisted Living Facilities that Offer Skilled Nursing & Nursing Home Compare
Nursing Home Compare is a program supported by Centers for Medicare & Medicaid Services and the U.S. Department of Health and Human Services. The two groups support online resources that have detailed information about every Medicare and Medicaid-certified nursing home in the country. A consumer can compare the quality of the Nursing Homes using a Five-Star Quality Ratings, health inspection results, nursing home staff data, quality measures, and fire safety inspection results. If the Assisted Living Facility you are considering has an affiliated Nursing Home then you can check the rating of the nursing home to help evaluate the potential care that the affiliated Assisted Living Facility will provide.
Visit Nursing Home Compare on the Medicare.gov website
Looking for Assistance with Senior Housing?
Use our convenient online Help & Referral contact form. We offer a free eldercare referral service for seniors, their families, caregivers and the professionals that serve them. Tell us what you are looking for: Senior Housing, Health at Home Services, Professional Services such as Elder Law, Mediation or Home Modification, Health Services, Care Management or Community Resources. Use our convenient online Help & Referral contact form to contact us.




