Assisted Living Facilities in Alabama 


1. Program Definition and Services 

Assisted Living Facilities (ALFs) in Alabama provide residence, health supervision, and personal care to individuals who need assistance with activities of daily living. Services include: 

  • Assistance with ADLs (bathing, dressing, etc.) 
  • Health monitoring and supervision 
  • Medication assistance 
  • Housekeeping and laundry 
  • Social activities 
  • Coordination of medical transportation 

 

2. Regulations 

ALFs are governed by: 

  • Alabama Department of Public Health regulations 
  • Alabama Administrative Code Chapter 420-5-4 
  • Code of Alabama 1975, Sections 22-21-20, et seq. 

 

3. Licensing or Certification 

Facilities must be licensed by the Alabama Department of Public Health 

Licenses are classified based on resident capacity:

  • Family: 2-3 adults 
  • Group: 4-16 adults 
  • Congregate: 17 or more adults 

 

4. Responsible State Agency 

Alabama Department of Public Health, Bureau of Health Provider Standards 

 

5. Application Process 

  • Submit plans and specifications for review and approval 
  • Undergo initial inspection 
  • Apply for licensure through the Alabama Department of Public Health 

 

6. Required Documentation 

  • Resident assessments and care plans 
  • Medication administration records 
  • Staff training records 
  • Incident reports 
  • Policies and procedures 

 

7. Timeline for Approval 

Specific timelines are not available. 

 

8. Pre-Application Process 

There is no explicit pre-application process mentioned. 

 

9. Pre-Application Training 

Administrators must be licensed by the Alabama Board of Examiners of Assisted Living Administrators. 

 

10. Additional Notes 

  • Facilities must have proper ventilation, light, and temperature controls 
  • New facilities must be located at least 1,000 feet from railroads, freight yards, or disposal plants 
  • Remodeled areas must comply with current requirements for new construction 
  • As of February 2025, ALFs play a crucial role in providing residential care for adults needing assistance with daily living activities

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