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In general, a state-licensed program offered at a residential community with services that include meals,
laundry, housekeeping, medications reminders, and assistance with Activities of Daily Living (ADLs) and
Instrumental Activities of Daily Living (IADLs). The exact definition will vary from state to state, and a
few states do not license assisted living facilities. They are generally regarded as one to two steps below skilled
nursing in level of care. Approximately 90 percent of the country's assisted living services are paid for with
private funds, although some sates have adopted Medicaid waiver programs. Might also be referred to as
Personal Care, Board and Care, Residential Care, Boarding Home, etc., although some states differentiate
between their definition of "Assisted Living" and these other terms (e.g., Washington state recognizes and
licenses "Assisted Living" facilities as well as "Boarding Homes"; Although licensed by the State of Washington,
a Boarding Home does not meet the higher physical plant and service requirements necessary to be
considered an Assisted Living facility).
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