Vermont
A residential care home is any place, other than a licensed foster home, that provides room, board and personal care to three or more residents unrelated to the licensee. Level III homes add nursing overview to personal care, general supervision and medication management; Level IV homes provide those services without nursing overview. Assisted living residences add private units with their own bath, kitchen capacity and a lockable door. A single combined rule for residential care homes and assisted living residences took effect April 1, 2025, replacing the separate 2000 and 2003 rules.
License categories
Residential Care Home – Level IIIResidential Care Home – Level IVAssisted Living Residence
Key laws
33 V.S.A. Chapter 71
Regulation of Long-Term Care Facilities — official text
Assisted Living Residence and Residential Care Home Licensing Regulations (eff. April 1, 2025)
Combined RCH/ALR licensing regulations — official text
Key requirements
- Manager needs a high school diploma, state-approved certification and qualifying education or experience, and must be in the home an average of 32 or more hours per week (Regs. 4.13)
- Unlicensed staff may give medications only under RN delegation that is specific to the resident and the medication (5.10.d)
- Dementia training: at least 8 hours before staff work independently with residents (5.6.b)