Assisted Living Facilities: Finding ALF Regulations

Regulatory Updates and Summaries

The OHCQ list of pending pending changes to regulations, newly adopted regulations, or existing regulations  

Frequently asked questions on ALF regulations (OHCQ)

See also the summaries by membership organizations.
Here is a quick overview of the contents of the COMAR sections that cover Assisted Living Facilities (ALFs). This will help you to quickly find the section of the regulations that you need to consult. Title 10 of the regulations covers the Department of Health and Mental Hygiene. (However, ALFs must also follow regulations from other titles.)

Tips on searching COMAR on-line.

  • Look for a topic from the list below. Note the number. Go to COMAR on-line

    • Select option 1 and type in the number from the list below.

    • Or you can select option 2 and then select “Title 10” and then type in the number from the list below.

  • Each regulation is a separate document. You must open each regulation in the chapter separately.  Click on the highlighted number in order to see the text.

  • You can also search using a word (rather than the number below). This will give you more results and may be harder to use. When you get multiple results, each will have a number. “Regulation text can be found in search results ending in ".01" and greater. Results ending in ".00" are TITLE PAGES FOR THAT CHAPTER ONLY. It does not contain regulation text. ”

Chapter 10
10.07.14.01. Purpose.
10.07.14.02. Definitions.
10.07.14.03. License Required.
10.07.14.04. Levels of Care.
10.07.14.05. Restrictions.
10.07.14.06. Licensing Procedure.
10.07.14.07. Changes in a Program that Affect the Operating License.
10.07.14.08. Licensure Standards Waiver.
10.07.14.09. Preadmission Requirements.
10.07.14.10. Resident-Specific Level of Care Waiver.
10.07.14.11. Admission Requirements.
10.07.14.12. Resident Agreement―General Requirements and Nonfinancial Content.
10.07.14.13. Resident Agreement-Financial Content.
10.07.14.14. Staff Levels.
10.07.14.15. Assisted Living Manager.
10.07.14.15-1. Assisted Living Managers―Training Requirements.
10.07.14.15-2. Assisted Living Manager Training―Basic Course.
10.07.14.16. Alternate Assisted Living Manager.
10.07.14.17. Other Staff―Qualifications.
10.07.14.18. Service Plan.
10.07.14.19. Resident Record or Log.
10.07.14.20. Services.
10.07.14.21. Medication Management.
10.07.14.22. Incident Reports.
10.07.14.23. Records.
10.07.14.24. Relocation and Discharges.
10.07.14.25. Resident's Representative.
10.07.14.26. Resident's Rights.
10.07.14.27 Abuse, Neglect, and Exploitation.
10.07.14.28. Protection of a Resident's Personal Funds.
10.07.14.29. Misuse of Resident's Funds.
10.07.14.30. Approval of Burial Arrangements for Unclaimed Deceased Residents.
10.07.14.31. General Physical Plant Requirements.
10.07.14.32. Water Supply.
10.07.14.33. Sewage Disposal.
10.07.14.34. Security.
10.07.14.35. Assist Rails.
10.07.14.36. Fire and other Emergency Precautions.
10.07.14.37. Smoking.
10.07.14.38. Common Use Areas.
10.07.14.39. Resident's Room and Furnishings.
10.07.14.40. Bathrooms for Residents.
10.07.14.41. Illumination.
10.07.14.42. Heating, Ventilation, and Air Conditioning.
10.07.14.43. Radiators.
10.07.14.44. Laundry.
10.07.14.45. Telephones.
10.07.14.46. Investigation by Department.
10.07.14.47. Compliance Monitoring.
10.07.14.48. Sanctions.
10.07.14.49. Civil Penalties.
10.07.14.50. Criminal Penalties.
10.07.14.51. Emergency Suspension.
10.07.14.52. Suspension or Revocation of License.
10.07.14.53. Hearings

Source: Legal Aid Bureau’s Maryland Legal Assistance Network, in partnership with the Senior Legal Helpline, and the Assisted Living Project  the under a grant from the Maryland Department on Aging  to the Legal Aid Bureau   

Date last reviewed (no legal content): 10/15//07 (MLAN/DL/AC)
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