Stamford Senior AdvisorIs assisted living licensed in Connecticut?
Partly: Connecticut licenses the assisted living services agency that provides care, while the building is a managed residential community that registers with DPH but is not licensed.
State auditors described Connecticut as the only state that does not fully license assisted living facilities. Verify the ALSA license by address in the eLicense system.
Who can live in a Connecticut assisted living community?
Mainly people 55 and older whose conditions are chronic and stable and who need help with daily activities or medications, but not continuous skilled nursing.
Admission and discharge criteria must be in writing and may not unreasonably exclude people whose needs the agency can meet.
Does Connecticut require a nurse in assisted living?
Yes: every ALSA must have a registered nurse as assisted living supervisor, a backup RN, an RN on call 24 hours a day, and licensed nurse hours scaled to the number of aides.
There is no staff-to-resident ratio, so ask how many aides are awake overnight.
How often does an assisted living nurse reassess a resident?
At least every 120 days, and more often when a resident's condition changes, under Regs. Conn. State Agencies 19-13-D105(h).
Reassessments often trigger changes in care level and charges; ask to see each one.
Can assisted living give my parent's medications?
Yes, through the licensed ALSA's nurses, and aides may supervise residents who take their own medications within limits; the managed residential community itself may not administer medications unless it also holds an ALSA license.
Ask who gives medications on nights and weekends and how errors are reported.
Does assisted living in Connecticut have to provide meals and transportation?
Yes: every managed residential community must provide three regularly scheduled meals a day, housekeeping, laundry, transportation for certain needs, maintenance and social programs.
It must also have 24-hour security and an emergency call system in each unit.
How much notice is required before an assisted living fee increase?
Sixty days for an ALSA's care charges and 90 days for the managed residential community's monthly or recurring fees.
From October 1, 2026, an ALSA increase above 10% also requires an informational hearing at least 30 days before it takes effect.
Can I see inspection reports for a Connecticut assisted living community?
Not online: DPH does not publish ALSA inspection reports in bulk, so ask the community for its most recent DPH inspection letter and plan of correction.
The 2023 state auditors recommended a searchable public resource that would include them.
