Who Regulates Memory Care Facilities?

Each state has a department of health that regulates memory care facilities. Of the 30,600 residential care communities located in the United States, around 3,200 cater exclusively to seniors with cognitive impairment, and more than 20% are assisted living facilities with specialized dementia wings. With the number of Americans affected by Alzheimer’s predicted to hit 13 million by 2050, the demand for memory care is set to increase, so it’s vital these communities are properly regulated and conform to the highest standards possible.

A state’s department of health has its own division or agency to oversee the regulation of memory care. In some instances, regulations are an extension of those required for assisted living communities, although 16 states regulate memory care separately from other long-term care facilities.

Although regulations vary by state, they all cover policies and practices that ensure communities comply with a minimum level of dementia care. Typical state regulations covering assisted living include:

• Licensing
• Staff training requirements
• Information provided to consumers
• Physical building environment requirements

Additional requirements for memory care providers cover topics such as:

• Staff-to-resident ratios
• Specialized staff training
• Pre Admission requirements
• Methods of behavior management
• Living environment features

Memory care communities must apply for a license and prove they meet all necessary regulations and requirements before opening. They are then subject to regular inspections, both scheduled and unscheduled, to ensure they still conform to regulations and continue to follow protocols.

Any violation of the rules can result in a suspension of a facility’s license, and agencies often impose financial penalties. Many states publish inspection reports allowing the public to view ongoing performance levels, a useful tool when selecting a memory care community for a loved one.