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Regulatory guide

Boarding home rules, state by state.

License types, the agency in charge, the controlling laws and the complaint line — for all 50 states and DC.

51 jurisdictionsReviewed September 2026Links to official text
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Or search by state, license type or agency.

State guideNew Jersey (founding state)

Alabama

AL

Assisted living facility (group, congregate; family grandfathered)

Alaska

AK

Assisted living home

Arizona

AZ

Assisted living home (10 or fewer residents)

Arkansas

AR

Residential care facility

California

CA

Residential care facility for the elderly (RCFE)

Colorado

CO

Assisted living residence (ALR)

Connecticut

CT

Residential care home (rest home)

Delaware

DE

Assisted living facility

District of Columbia

DC

Assisted living residence (ALR)

Florida

FL

Assisted living facility (standard; specialty licenses: ECC, LNS, LMH)

Georgia

GA

Personal care home

Hawaii

HI

Adult residential care home (ARCH) Type I / Type II

Idaho

ID

Residential assisted living facility (RALF)

Illinois

IL

Assisted living establishment

Indiana

IN

Residential care facility

Iowa

IA

Residential care facility (RCF)

Kansas

KS

Boarding care home

Kentucky

KY

Personal care home

Louisiana

LA

Adult residential care provider (ARCP) Levels 1-4

Maine

ME

Residential care facility

Maryland

MD

Assisted living program (Level 1 low / Level 2 moderate / Level 3 high care)

Massachusetts

MA

Assisted living residence (ALR), certified

Michigan

MI

Adult foster care (AFC) home: family home (3–6), small group home (3–12), large group home (13–20), congregate facility (20+)

Minnesota

MN

Assisted living facility

Mississippi

MS

Personal care home – residential living

Missouri

MO

Residential care facility (RCF)

Montana

MT

Assisted living facility (Categories A, B, C, D)

Nebraska

NE

Assisted-living facility

Nevada

NV

Residential facility for groups (Category 1 / Category 2 residents; endorsements incl. assisted living, Alzheimer's)

New Hampshire

NH

Assisted living residence – residential care (ALR-RC)

New Jersey

NJ

Rooming and boarding houses (Class A, B, C, D, E, F licenses)

New Mexico

NM

Boarding homes

New York

NY

Adult homes

North Carolina

NC

Family care homes (2-6 residents)

North Dakota

ND

Basic care facilities

Ohio

OH

Residential facility Class 2 (formerly adult care facilities: adult family homes / adult group homes)

Oklahoma

OK

Residential care homes

Oregon

OR

Adult foster homes (up to 5 residents)

Pennsylvania

PA

Personal care homes

Rhode Island

RI

Assisted living residences

South Carolina

SC

Community Residential Care Facility (CRCF)

South Dakota

SD

Assisted Living Center

Tennessee

TN

Assisted-Care Living Facility (ACLF)

Texas

TX

Assisted Living Facility – Type A

Utah

UT

Assisted Living Facility – Type I

Vermont

VT

Residential Care Home – Level III

Virginia

VA

Assisted Living Facility – Residential Living Care

Washington

WA

Adult Family Home

West Virginia

WV

Assisted Living Residence (small and large)

Wisconsin

WI

Community-Based Residential Facility (CBRF)

Wyoming

WY

Boarding Home

No states match that search.

The pattern

Most states regulate through health agencies.

New Jersey is the only state where boarding homes are licensed by its Department of Community Affairs — a housing agency.

Who licenses boarding homes?

Primary licensing agency type, 50 states + DC

Health or health & human services department
40
Human services department
5
Aging & disability agency
3
Office of Inspector General
1
Behavioral health department
1
Community affairs (housing)
1

Source: NBHA state regulatory guide, reviewed September 2026. Hover a bar for states.

View as table
Agency typeJurisdictions
Health or health & human services department40
Human services department5
Aging & disability agency3
Office of Inspector General1
Behavioral health department1
Community affairs (housing)1
Federal baseline

Six federal rules that apply everywhere.

States write the details; these set the floor.

01The Keys Amendment

Social Security Act §1616(e)

Every state must designate an authority that sets and enforces standards for group living arrangements where a significant number of SSI recipients live — covering admission policies, safety, sanitation and civil rights. States must publish a summary of those standards annually and certify compliance to Social Security.

Official source
02Medicaid HCBS settings rule

42 CFR 441.301(c)(4)

Homes that serve residents whose care is paid through Medicaid home and community-based services must be integrated in the community and protect privacy, dignity, choice and autonomy. Provider-controlled homes need legally enforceable residency agreements, lockable bedroom doors, visitor access and freedom over schedules and food.

Official source
03Ensuring Access to Medicaid Services rule

CMS-2442-F (2024)

Adds HCBS requirements for states, including incident-management systems and grievance processes. In February 2026, CMS gave states until December 31, 2027 to meet the fee-for-service grievance-system requirements.

Official source
04Long-Term Care Ombudsman Program

Older Americans Act

Every state has an ombudsman program that advocates for residents of nursing homes, board-and-care and assisted living homes. Ombudsmen visit homes, resolve complaints and educate residents about their rights.

Official source
05Life Safety Code: residential board and care

NFPA 101, Chapters 32 & 33

The national model fire and life-safety code has dedicated chapters for new and existing residential board-and-care occupancies, based on how quickly residents can evacuate. Many states adopt or reference it in their licensing or fire codes.

Official source
06Disability rights in housing

Fair Housing Act · ADA · Section 504

Federal law prohibits housing discrimination because of disability and requires reasonable accommodations. The Supreme Court’s Olmstead decision requires public services to be provided in the most integrated setting appropriate.

Official source
This guide is a research starting point, not legal advice. Local zoning, building and fire codes also apply — always confirm with your state agency. Report an update.