The Executive Office of Elder Affairs requires that new applicants for assisted living certification submit an application with all the necessary supporting documents at least 60 days prior to the anticipated date of opening.
- This page, Apply to certify an Assisted Living Residence, is offered by
- Executive Office of Elder Affairs
Apply to certify an Assisted Living Residence
Learn about the application process for Assisted Living Residence certification.
Contact for Apply to certify an Assisted Living Residence
Executive Office of Elder Affairs (EOEA)
Phone
Open M-F 9am-5pm
Toll Free Number
Call Executive Office of Elder Affairs (EOEA), Toll Free Number at (800) 243-4636 (interpreter services are available in 100+ languages)
Open M-F 9am-5pm
Toll Free Elder Abuse Hotline
Call Executive Office of Elder Affairs (EOEA), Toll Free Elder Abuse Hotline at (800) 922-2275 (interpreter services are available in 100+ languages)
Elder Abuse Hotline is open 24 hours a day, 7 days a week.
Toll Free Connect to local elder service agency
Call Executive Office of Elder Affairs (EOEA), Toll Free Connect to local elder service agency at (800) 243-4636 (interpreter services are available in 100+ languages)
Open M-F 9am-5pm
Online
Information and referral (I&R)
Email Executive Office of Elder Affairs (EOEA) at information.resources@mass.gov
Aging and Disability Services Call Center
www.massoptions.org
The Details of Apply to certify an Assisted Living Residence
What you need for Apply to certify an Assisted Living Residence
- Notarized Assisted Living Certification Application Form
- $200 Application Fee- made payable to "The Commonwealth of Massachusetts"
- Operating Plan1, 2
- Individual Service Plan Form
- Assessment Form
- Resident Satisfaction Survey Form
- Printed Marketing Materials3
- Disclosure of Rights and Services (see 651 CMR 12.08(3))
- Resident Handbook (if applicable)
Please review the application form for any additional case-specific materials needed.
[1] Applicants for re-certification are required to submit the following operating plan documents only if if they have not been previously been submitted in accordance with requirements of 651 CMR 12.04(13)
[2] Details of what needs to be included in the Operating Plan can be found within the Assisted Living Certification Application Form.
[3] Prior to receiving certification, all advertisements must disclose “Pending EOEA certification” in a minimum 14 point font size.
Fees for Apply to certify an Assisted Living Residence
$200 application fee made payable to the Commonwealth of Massachusetts
How to apply Apply to certify an Assisted Living Residence
Every Application shall be notarized and signed under the pains and penalties of perjury by the Applicant. Except as set forth in 651 CMR 12.03(8)
(Change of Ownership shall be submitted to the Executive Office of Elder Affairs at least 60 days before the date the Applicant plans to start operation of the Assisted Living Residence.)
Assisted Living Certification Application Form and $200.00 Application fee made payable to the Commonwealth of Massachusetts should be mailed to:
The Executive Office of Elder Affairs
Assisted Living Certification Unit
One Ashburton Place 5th Floor
Boston, MA 02108
Next steps for Apply to certify an Assisted Living Residence
-
Initial on-site review
The staff at Elder Affairs will conduct an on-site compliance review before the certification of the assisted living residence.
As part of the review process, Elder Affairs' staff will:
- tour the residence
- review personnel files
- interview both the Director and the Resident Care Coordinator
Elder Affairs will send the Applicant a letter within 10 business days indicating what clarification/changes need to be made to the materials submitted with the application, and if any additional documentation is necessary (e.g., certificate of occupancy or documentation which indicates that the required orientation has been completed).
The Residence may not open (move in any residents) until it completes the certification process and has received a certificate to operate as an assisted living residence.
Elder Affairs may conduct another on-site review, including resident interviews and a review of resident records, after the new Residence has commenced operation.
Fee per Unit
After receiving notification of your Certification completion, you must send within 10 days a Certification fee based on the number of Units certified to the Executive Office of Elder Affairs.
Currently, the certification fee per unit is $125/Unit.
Downloads for Apply to certify an Assisted Living Residence
Open PDF file, 821.02 KB, for Assisted Living Certification Application Form (English, PDF 821.02 KB)Open PDF file, 294.14 KB, for Application for Exemption to Staffing in Special Care Residence (English, PDF 294.14 KB)Contact for Apply to certify an Assisted Living Residence
Address
Phone
Open M-F 9am-5pm
Toll Free Number Call Executive Office of Elder Affairs (EOEA), Toll Free Number at (800) 243-4636 (interpreter services are available in 100+ languages)Open M-F 9am-5pm
Toll Free Elder Abuse Hotline Call Executive Office of Elder Affairs (EOEA), Toll Free Elder Abuse Hotline at (800) 922-2275 (interpreter services are available in 100+ languages)Elder Abuse Hotline is open 24 hours a day, 7 days a week.
Toll Free Connect to local elder service agency Call Executive Office of Elder Affairs (EOEA), Toll Free Connect to local elder service agency at (800) 243-4636 (interpreter services are available in 100+ languages)Open M-F 9am-5pm
Online
Information and referral (I&R) Email Executive Office of Elder Affairs (EOEA) at information.resources@mass.govAging and Disability Services Call Center www.massoptions.orgFax
Fax Number (617) 727-9368Related