Assisted Living: Licensing

Colorado Department of Public Health & Environment

There are three types of assisted living residences in Colorado: private pay, alternative care facilities (assisted living residences that are Medicaid certified) and residential treatment facilities for persons with severe and persistent mental illness. There are about over 500 assisted living residences in Colorado. Any assisted living residence caring for 3 or more residents must be licensed.

Private pay assisted living residences are licensed. Alternative care facilities have Medicaid clients, and are licensed and certified. The Department conducts the regulatory inspections for Medicaid certification on behalf of the state Department of Health Care Policy and Financing (HCPF).  Residential treatment facilities are mental health facilities and are licensed. They are operated by the local mental health center.

Assisted living residences range in size from 3 to more than 200 beds. The most common reasons for admission to assisted living residences are medication management, bathing and dressing assistance, and the need for protective oversight and supervision.

Assisted living residences provide room, board and at least the following: personal services, protective oversight, social care and regular supervision available on a 24-hour basis.

Inspection & Facility Directory