Assisted Living Licensure Relocation
Use the forms below to apply for a relocation of an existing license for an assisted living facility or an assisted living facility with dementia care. After you have downloaded and completed your application form, upload the application and additional documents to the Facility and Provider Licensing System.
An existing assisted living facility or assisted living facility with dementia care licensee may be eligible for relocation if the following apply:
- The facility holds an active and current assisted living facility license.
- The facility is not provisionally licensed.
- The facility has a licensed resident capacity of five (5) or fewer residents.
- The facilities current address is located within the seven-county metro area and the proposed new facility location is also located within the seven-county metro; OR the facility's current address is located outside of the seven-county metropolitan area, and the proposed new location is located no more than two hours or 120 miles from the current location and is not located within the seven-county metropolitan area.
- The proposed new location meets the colocation requirements established in Minnesota, Statutes, section 245A.042 and is not located on the same property or an adjoining property of another qualifying licensed residential setting.
- The licensee has not relocated within the previous three-year period. MDH may approve an additional relocation within a three-year period upon a licensee's demonstration of an extenuating circumstance.
Note: For purposes of this application, the seven-county metropolitan area consists of Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington counties.
No assisted living services shall be provided at the new facility location until the Minnesota Department of Health approves the licensee relocating to a new address.
Forms
Contact information
If you have any questions, please contact health.assistedliving@state.mn.us or 651-201-4100.
