Assisted Living Licensure - Minnesota Department of Health

Assisted Living Licensure

Assisted Living Licensure (ALL) within the Health Regulation Division of the Minnesota Department of Health oversees and regulates licensed assisted living providers in Minnesota. These activities include:

  • Licensure
  • On-site surveys and enforcement
  • Communication with providers and the public on the issues of assisted living laws and regulation.

Our mission is to protect, maintain and improve the health of Minnesotans who receive assisted living services.

nurse assisting patient with walker

The Assisted Living Licensure law under Minnesota Statutes, chapter 144G was passed by the 2019 Minnesota Legislature. The law established regulatory standards governing the provision of housing and services in assisted living facilities and assisted living facilities with dementia care to help ensure the health, safety, well-being, and appropriate treatment of residents. It also authorized the commissioner to adopt rules for all assisted living facilities that promote person-centered planning and service delivery and optimal quality of life, and that ensure resident rights are protected, resident choice is allowed, and public health and safety is ensured.


June 2, 2021: New FAQs for providers: Resident Capacity and UDALSA

We've updated the Resources & FAQs page to include information relating to resident capacity and the UDALSA form.

May 20, 2021: New Resident Bill of Rights, FAQ document for consumers, and updates to provider FAQs

We've added the new Minnesota Bill of Rights for Assisted Living Residents to the Patient, Resident, and Home Care Bill of Rights page. We'll be adding translations of this document at a later date.

A news release went out today encouraging residents of assisted living facilities to ask their current care providers about their plans and any impacts to the care provided beginning in August. You can find it here: News release: Assisted living residents encouraged to prepare for August licensing changes. We've also created a document designed to answer questions that are frequently asked by consumers about assisted living licensure: Assisted Living Licensure Consumer Frequently Asked Questions (PDF).

The Resources & FAQs page has been updated to include information about how providers can get their SS-4 document.

May 13, 2021: Updates to Application Materials

We've added several new documents to the Application Materials page; these are flow charts designed to help you easily determine which assisted living license is applicable to you.

We also added some questions and answers to the Conversion Applicants section on that page.

May 5, 2021: Updates to FAQs and Application Materials

We've added a new section to the Resources & FAQs pagethat includes answers to questions we've received about Dementia Care training. We've also updated the Campus Definition section with an additional question, and moved questions related to the application process to the Application Materials page.

On the Application Materials page, we've added further information based on questions we've received.

We'll continue to update with new information and questions as we receive them.

April 16, 2021: Updated FAQs Page

We've updated our website to include answers to questions asked by providers about a variety of topics. You can find this information on the Resources & FAQs page. We'll be continuing to update it, so please check back regularly.

March 26, 2021: For Housing with Services Providers

If you are registered as a housing with services establishment under Chapter 144D and meet the following criteria, you must apply for an assisted living facility license no later than June 1, 2021:

  • You are providing home care services, or have contracted with a comprehensive home care provider to provide home care services, to at least one resident AND
  • You intend to provide assisted living services on or after August 1, 2021.

Public Hearing

Please take notice that the Minnesota Department of Health held a remote-access public hearing on the proposed rules for assisted living licensure. The hearing provided interested persons the opportunity to testify regarding the proposed rules. Administrative Law Judge, Ann C. O’Reilly conducted the hearing on Tuesday, January 19, and Wednesday, January 20, 2021.

You may review the hearing transcripts here:
MDH Rules Hearing Transcript 1/19/2021 (PDF)
MDH Rules Hearing Transcript 1/20/2021 (PDF)

You may review Judge O’Reilly’s Instructions here: 
Instructions for Hearing 1/19/2021 (PDF)
Instructions for Hearing 1/20/2021 (PDF)

On March 29, 2021, Administrative Law Judge (ALJ) Ann O’Reilly approved and disapproved portions of the rule in her report. On April 8, 2021, Chief Judge Jenny Starr concurred with ALJ O’Reilly’s approval and disapproval of portions of the rule in her report.  Both reports can be viewed here: Report of the Administrative Law Judge and the Report of the Chief Administrative Law Judge (PDF). MDH filed a response with Chief Judge Starr upon reviewing her report and ALJ O’Reilly’s report, which can be viewed here: Letter to Chief ALJ Starr (PDF)

On April 23, 2021, Chief Judge Jenny Starr issued an Order on Review of Resubmitted Rules (PDF) Under Minn. Stat. § 14.16, Subds. 1, 2, and Minn. R. 1400.2240, Subp. 4 (Order). MDH again filed a response with Chief Judge Starr, which can be viewed here: Request for Final Approval (PDF).

On May 10, 2021, MDH received Chief Judge Jenny Starr’s Order on Review of Resubmitted Rules and Request to Omit Text From Notice of Adoption (PDF).

On June 11, MDH filed its Order Adopting Rules (PDF) along with a copy of the final modified rule with OAH.

MDH's Hearing Exhibits

Please find below links to MDH’s hearing exhibits:

You may obtain hard copies for the cost of reproduction by emailing us at

Notice of Hearing

The Notice of Hearing (PDF) was published in the State Register on December 14, 2020. You may also review the Notice of Hearing at the Office of Administrative Hearings Rulemaking eComments website or by requesting a free copy by emailing us at

Rule Language

Proposed rules are available to view at Assisted Living Facilities Proposed Rules (PDF). You may also review the proposed rules at the Office of Administrative Hearings Rulemaking eComments website or by requesting a free copy of the rules by emailing us at

The department has proposed two sets of changes to the proposed rules. These changes are reflected in hearing Exhibit L and this document: Additional Modifications to Proposed Rules (PDF). You may obtain hard copies for the cost of reproduction by emailing us at

MMB Cost Analysis

Minnesota Management and Budget has provided the department with its office memorandum (PDF) regarding the costs of the proposed rule on local units of government. You may obtain hard copies for the cost of reproduction by emailing us at

Statement of Need and Reasonableness

Statement of Need and Reasonableness for Assisted Living Licensure (PDF)
The department is required to justify the need and reasonableness of each rule requirement. “Need” means that there is a problem, or a legislative directive, that requires us to adopt or amend rules. “Reasonableness” means that a proposed requirement is a reasonable solution to a problem. The Statement of Need and Reasonableness (SONAR) is the justification document that contains the analysis of each requirement in the rules, the department's statutory authority for the rules, and a regulatory analysis. You may also review the SONAR at the Office of Administrative Hearings Rulemaking eComments website or obtain copies for the cost of reproduction by emailing us at

Statute Updates

The Minnesota Legislature convened on December 14, 2020 for their 7th Special Session. A bill was passed into law that was a compilation of technical provisions to various items. 

This included assisted living licensure language. See Laws 2020, 7th Special Session, chapter 1, article 6 for details.  Please review in conjunction with the proposed rules.


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If you have any questions please email us at

Updated Monday, 14-Jun-2021 08:23:29 CDT