New government data is available on states’ residential care setting regulations through a new compendium from the Office of the Assistant Secretary for Planning and Evaluation.
Based on a 2012 study conducted by the National Center for Health Statistics, the United States has an estimated 22,200 residential care settings with 713,300 residents. Just over half of the settings with 50 or more beds had a dementia care program and 52 percent were certified to receive Medicaid payments.
Although states generally have provisions covering the same areas--such as staff training--their requirements vary considerably, the compendium executive summary notes. For example, 40 states require direct care worker training, but the number of required training hours ranges from one to 80.
The compendium notes similarities and differences among states and provides examples from state regulations. There are also differences among state definitions. For example, a few states regulate assisted living as a service, using the terms “assisted living agency” such as in Connecticut or “assisted living services” such as in Minnesota.
To peruse the compendium executive summary or to access the full report, visit the website of ASPE, a division of the U.S. Department of Health and Human Services.