What Are the Rules for Living in Assisted Living Facilities?

The rules for living in assisted living facilities usually relate to behavior, care needs and finances. Precise guidelines vary between facilities. Communities design rules to ensure all occupants’ well-being, safety and comfort. Resident agreements set out community rules, and staff members inform seniors and their loved ones of relevant policies before they move in.

Seniors must fulfill admission conditions to move into assisted living facilities. While these differ between communities, residents must usually meet the functional criteria of needing help with activities of daily living. Many facilities also have a minimum age limit. Staff develops personalized care plans in line with residents’ needs; community rules usually state that the facility can’t continue caring for individuals if their condition changes and their care requirements fall outside the community’s scope of care. In such cases, residents likely need to move to a more appropriate long-term care setting, such as a nursing home or a memory care facility or supportive living facility.

Assisted living residents must comply with behavioral standards for their own well-being as well as the well-being of other residents and staff members. Such rules typically prohibit violent or aggressive acts, excessive noise, theft, harassment and bullying to ensure a respectful and pleasant environment for all. Communities also expect residents to respect communal and private areas and avoid causing deliberate damage. Residents must follow any rules related to smoking, pets, safety procedures and dining times. While facilities generally encourage guests, families and friends must respect any visitation rules, and residents must follow community procedures if they go off-site independently.

Residents bear responsibility for their assisted living fees unless they have a legal guardian or conservator. If they receive public assistance, such as from Medicaid, the Veterans Benefits Administration or the Program of All-Inclusive Care for the Elderly, seniors must reply promptly to information requests and update relevant organizations about any changes in their circumstances. Likewise, those who self-pay for their care should ensure timely payments. Sometimes, residents incur supplemental charges, such as for excursions, TV services and on-site parking reservations. They should settle outstanding bills each payment cycle.Several organizations, including local Area Agencies on Aging and Aging and Disability Resource Centers, help seniors maximize their income and find ways to pay for assisted living. Anyone facing difficulties should also discuss matters with facility staff.