Assisted living residences operating in Massachusetts must be certified by the Executive Office of Elder Affairs (Elder Affairs) and meet the requirements set forth in M.G.L. c 19D and 651 CMR 12.00 et seq (PDF) pdf format of    reg_651cmr012.pdf  rtf format of reg_651cmr012.rtf . Included in the regulations are the following requirements:
  • one or two bedroom units with entry doors that lock

  • private bathrooms for each unit in newly constructed ALRs

  • private kitchenettes or access to cooking facilities

  • at least one meal a day

  • for all residents who need it, assistance with bathing, dressing, ambulation and supervision of or reminders to take prescribed medications.

  • 24 hour a day on-site staff

  • emergency response systems to signal on-site staff

  • individualized service plans

  • residency agreements (lease/contract) which detail what the ALR will provide to the resident, including the rights and responsibilities of both the ALR and the resident.