Assisted Living Licensing & Regulation
Assisted Living facilities are licensed under the BHCQC (Bureau of Health Care Quality & Compliance (in Nevada) and operate according to Nevada State Laws and Regulations. These are the same regulations that Residential Care Homes operate under. There are many rules and regulations that each facility is required to follow. Each facility licensed under Residential Facilities for Groups (RFFG) is surveyed on an annual basis and has the results of their survey posted on the BHCQC web site.
There are no state staffing requirements except for dementia care which requires one awake person at night and 1 per 6 caregiver to resident ratio. Assisted Living Facilities are required to have one Administrator to manage and oversee care and services in the facility. The Administrator of a large Assisted Living facility has the responsibility to provide protective supervision to 50-150 residents. The administrator to resident ratio could affect the quality and amount of personal attention each resident will receive. It is likely a difficult task for an administrator of an Assisted Living facility, overseeing 50-150 residents, to know personally and coordinate all aspects of service and care for all 50- 150 people. Assisted Living facility administrators may delegate management and problem solving to other, less trained /skilled staff, which further reduces continuity of care.