• Assistance with activities of daily living (ADLs) such as bathing, dressing, and grooming 

• Self-administered medication management (SAMM) 

• Up to three meals a day in a common dining room 

• Housekeeping and laundry services 

• Social and recreational activities 

• 24-hour staff availability 

• Transportation services 

2. Regulations 

Assisted Living Services are governed by: 

• 651 CMR 12.00: Certification Procedures and Standards for Assisted Living Residences 

• Chapter 19D of the Massachusetts General Laws 

3. Licensing or Certification 

ALRs must obtain and maintain certification from the Massachusetts Executive Office of Elder Affairs (EOEA). 

4. Responsible State Agency 

The Executive Office of Elder Affairs (EOEA) is responsible for certification and regulation of ALRs. 

5. Application Process 

Providers must apply for certification through the EOEA. The application process includes submitting required documentation and undergoing inspections. 

6. Required Documentation 

Applicants must provide: 

• Completed certification application 

• Policies and procedures manual 

• Staff qualifications and training records 

• Proof of compliance with state and local building codes 

• Financial documentation 

7. Timeline for Approval 

The timeline for approval is not specified in the available information. 

8. Pre-Application Process 

There is no formal pre-application process mentioned. 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, staff must meet qualification requirements set by regulations. 

10. Additional Notes 

• ALRs in Massachusetts are designed to promote independence, dignity, and privacy for residents. 

• Special care units for individuals with Alzheimer's disease or dementia are available in many ALRs. 

• As of March 6, 2025, Massachusetts is exploring new regulations to protect residents from unfair and deceptive practices. 

• The state provides an optional state supplement to support low-income residents in ALRs. 

• Assisted living services are also available under the Money Follows the Person Residential Supports Waiver program for eligible individuals.