Level of Licensure for Long Term Care Facilities

Residential Care Facility (formerly RCF I)

Facility which provides 24-hour care to three or more residents who need or are provided with shelter, board, and protective oversight, which may include storage, distribution or administration of medications and care during short-term illness or recuperation. Residents who live in a RCF are required to make a path to safety unassisted. A licensed Nursing Home Administrator is not required.

Residential Care Facility* (continues to comply with former RCFII requirements)

Facility which provides 24-hour accommodation, board, and care to three or more residents who need or are provided with supervision of diets, assistance in personal care, storage, distribution or administration of medications, supervision of health care under the direction of a licensed physician, and protective oversight, including care during short-term illness or recuperation. Residents who live in a RCF* are required to make a path to safety unassisted. A licensed Nursing Home Administrator is required.

Assisted Living Facility


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Assisted Living Facility** (able to admit residents needing more than minimal assistance to safely evacuate)

Facility provides 24-hr care, services and protective oversight to residents who are provided with shelter and board, and who may need assistance with activities of daily living which include eating, dressing, bathing, toileting, transferring and walking. Facility also provides oversight for storage, distribution, or administration of medications; and health care supervision under the direction of a licensed physician, and consistent with a social model of care. A social model of care includes long-term care services based on the abilities, desires, and functional needs of individuals delivered in a setting that is more home-like than institutional and which promotes the dignity, privacy, independence, and autonomy of the individual. A licensed Nursing Home Administrator is required.This type of facility may accept or retain residents who require minimal assistance in their safe evacuation from the facility.

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Facility provides 24-hr care, services and protective oversight to residents who are provided with shelter and board, and who may need assistance with activities of daily living which include eating, dressing, bathing, toileting, transferring and walking. Facility also provides oversight for storage, distribution, or administration of medications; and health care supervision under the direction of a licensed physician, and consistent with a social model of care. A social model of care includes long-term care services based on the abilities, desires, and functional needs of individuals delivered in a setting that is more home-like than institutional and which promotes the dignity, privacy, independence, and autonomy of the individual. A licensed Nursing Home Administrator is required.Facility which may accept or retain residents with an impairment that prevents their safe evacuation with minimal assistance only if the facility meets certain staffing requirements to assist in evacuations and include an individualized evacuation plan in the resident’s service plan.

Intermediate Care Facility

Facility provides 24-hour accommodation, board, personal care, and basic health and nursing care services under the daily supervision of a licensed nurse and direction of a licensed physician to three or more residents dependent for care and supervision. Licensed Nursing Home Administrator is required.

Skilled Nursing Facility

Facility provides 24-hour accommodation, board and skilled nursing care and treatment services to at least three residents. Skilled nursing care and treatment services are commonly performed by or under the supervision of a registered professional nurse for individuals requiring twenty-four hour care by licensed nursing personnel including acts of observation, care and counsel of the aged, ill, injured or infirm, the administration of medications and treatments as prescribed by a licensed physician or dentist, and other nursing functions requiring substantial specialized judgment and skill. Licensed Nursing Home Administrator is required.

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