Effective May 2023, all application submissions to the Assisted Living Certification Unit must be submitted electronically.
Learn about the application process for Assisted Living Residence certification.
- This page, Apply to certify an Assisted Living Residence, is offered by
- Executive Office of Elder Affairs
Apply to certify an Assisted Living Residence
Contacts
Executive Office of Elder Affairs (EOEA)
Phone
Call Specialist available Monday-Friday, 9:00 AM - 5:00 PM (interpreter services are available in 100+ languages)
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
By Email
Effective May 2023, all application submissions to the Assisted Living Certification Unit must be submitted electronically. If the application includes the submission of any attachments, the application should be accompanied by an index of documents attached in each of the separate submissions if required due to volume size of the application.
Effective May 2023, electronic applications must be emailed to ALRHelp@mass.gov. The subject line should specify the ALR name and reference to the certification requested on page 1 of the application.
The $200.00 application fee should be sent by mail to:
The Executive Office of Elder Affairs
Assisted Living Certification Unit
One Ashburton Place 5th Floor
Boston, MA 02108
Questions should be sent to ALRHelp@mass.gov
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, 875.65 KB, Assisted Living Certification Application Form (English, PDF 875.65 KB)Open PDF file, 294.14 KB, 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
Call Specialist available Monday-Friday, 9:00 AM - 5:00 PM (interpreter services are available in 100+ languages)
Fax
Fax Number (617) 727-9368Related