Senior Care Regulations15 states covered

Senior Care Regulations by State, 2026

A working reference for senior care admissions and operations teams. Each state guide covers the agencies that regulate nursing homes, assisted living, and memory care, where memory care carries a separate designation, how hospice is licensed, and the Long-Term Care Ombudsman office. Sources are cited from state agencies, CMS, and ombudsman offices only.

Reviewed by Jonson EditorialSourced from state agencies and CMS
CA

California Senior Care Regulations

California senior care regulations 2026: CDPH skilled nursing, CDSS RCFE assisted living, memory care dementia plan, hospice moratorium, ombudsman office, and survey citation patterns.

Memory care within assisted living license
Open state guide
TX

Texas Senior Care Regulations

Texas senior care regulations 2026: HHSC nursing facility licensure, Type A and Type B assisted living, Alzheimer's certification under 26 TAC 92, hospice licensure, ombudsman.

Separate memory care designation
Open state guide
FL

Florida Senior Care Regulations

Florida senior care regulations 2026: AHCA nursing home and ALF licensure, ECC and LNS endorsements, hospice Certificate of Need, post-Irma emergency preparedness, ombudsman.

Separate memory care designation
Open state guide
NY

New York Senior Care Regulations

New York senior care regulations 2026: NYS DOH nursing home licensure, ALR and SNALR assisted living, memory care certification, Article 40 hospice authority, ombudsman.

Separate memory care designation
Open state guide
PA

Pennsylvania Senior Care Regulations

Pennsylvania senior care regulations 2026: PA DOH nursing facilities, DHS ALR and PCH, Subchapter K Dementia Care Unit, hospice licensure under 28 Pa. Code 51, ombudsman.

Separate memory care designation
Open state guide
OH

Ohio Senior Care Regulations

Ohio senior care regulations 2026: ODH nursing facility licensure, Residential Care Facility (RCF) assisted living, Chapter 3721 dementia disclosure, Chapter 3712 hospice.

Memory care within assisted living license
Open state guide
IL

Illinois Senior Care Regulations

Illinois senior care regulations 2026: IDPH nursing home and assisted living licensure, Alzheimer's Special Care Disclosure Act, Supportive Living Facility program, 210 ILCS 60 hospice.

Separate memory care designation
Open state guide
MI

Michigan Senior Care Regulations

Michigan senior care regulations 2026: LARA nursing facility, Home for the Aged and Adult Foster Care assisted living licensure, memory care delivery, hospice licensure, ombudsman.

Memory care within assisted living license
Open state guide
NC

North Carolina Senior Care Regulations

North Carolina senior care regulations 2026: DHSR nursing home licensure, Adult Care Home and Family Care Home, Special Care Unit designation, Certificate of Need, hospice licensure.

Separate memory care designation
Open state guide
GA

Georgia Senior Care Regulations

Georgia senior care regulations 2026: DCH Healthcare Facility Regulation, ALC and PCH licensure, Chapter 111-8-63 Memory Care Certification, hospice CON, ombudsman.

Separate memory care designation
Open state guide
NJ

New Jersey Senior Care Regulations

New Jersey senior care regulations 2026: NJ DOH nursing facility licensure, ALR CPCH and RHCF assisted living categories, dementia care disclosure, independent ombudsman office.

Separate memory care designation
Open state guide
VA

Virginia Senior Care Regulations

Virginia senior care regulations 2026: VDH nursing facility licensure, DSS assisted living licensure, Safe Secure Environment dementia designation, hospice licensure, ombudsman.

Separate memory care designation
Open state guide
WA

Washington Senior Care Regulations

Washington senior care regulations 2026: DSHS Residential Care Services, ALF and Adult Family Home, Dementia Specialty designation under WAC 388-78A-2470, DOH hospice agency.

Separate memory care designation
Open state guide
MA

Massachusetts Senior Care Regulations

Massachusetts senior care regulations 2026: DPH nursing facility licensure, Elder Affairs Assisted Living Certification, 651 CMR 12.08 Special Care Residence, hospice licensure.

Separate memory care designation
Open state guide
AZ

Arizona Senior Care Regulations

Arizona senior care regulations 2026: ADHS nursing facility licensure, three assisted living sizes, Directed Care service level under A.A.C. R9-10-808, hospice licensure under A.R.S. 36-405.

Separate memory care designation
Open state guide

More state guides are in progress. The initial 15 cover the largest senior-care markets by population. If a specific state is needed for an admissions or operations question, the relevant state agency and CMS Care Compare are the authoritative sources until the state guide ships here.

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